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Maine rates for HCPCS D7321

Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.79 / $261.50 / $261.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $263.24 / $309.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.90 / $254.42 / $390.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.79 / $261.50 / $261.50