go back

Maine rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.01 / $813.41 / $976.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.28 / $1,052.48 / $1,495.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.28 / $1,172.00 / $1,673.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.91 / $1,130.28 / $1,733.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.01 / $976.66 / $1,245.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.79 / $1,020.26 / $1,551.52