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Maine rates for HCPCS 24160

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,548.82 / $2,818.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $3,235.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,621.81 / $2,691.53