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Maine rates for HCPCS 24620

Closed Tx Monteggia Fx Dislocation Elbow W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.91 / $3,301.91 / $3,301.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.91 / $543.78 / $700.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.48 / $770.62 / $1,152.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.75 / $883.71 / $1,229.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.68 / $870.85 / $1,335.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.91 / $3,301.91 / $3,413.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.36 / $545.41 / $700.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.57 / $734.92 / $1,195.31