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Maine rates for HCPCS 25077

Rad Resect Tumor Soft Tiss Forearm&/Wrist <3 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.48 / $930.15 / $1,118.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.05 / $1,208.25 / $1,650.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.90 / $1,300.45 / $1,918.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.49 / $1,246.66 / $1,912.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.46 / $944.11 / $1,118.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.50 / $1,187.40 / $1,692.98