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Maine rates for HCPCS D7953

Bone Replcmt Graft Ridge Preservation Per Site

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $340.34 / $340.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.66 / $162.41 / $201.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.94 / $157.28 / $241.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $340.34 / $340.34