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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
$430.25 / $5,454.64 / $6,539.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $370.53 / $582.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.57 / $470.50 / $681.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.25 / $532.75 / $768.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.76 / $514.59 / $789.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.59 / $3,961.88 / $5,454.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $430.25 / $582.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.74 / $447.86 / $714.61