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Maine rates for HCPCS 24925

Amputation, arm through humerus; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $851.14 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,288.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,513.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,230.27