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Maine rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $2,089.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,737.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $2,041.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,621.81