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Maine rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,659.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,949.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $954.99 / $1,513.56