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Maine rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,754.23 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $812.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $954.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,754.23 / $5,495.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $741.31