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Maine rates for HCPCS 25085

Capsulotomy Wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.81 / $478.52 / $738.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.29 / $611.20 / $877.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.60 / $683.71 / $978.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.37 / $663.39 / $1,017.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.81 / $522.52 / $568.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.77 / $621.72 / $892.16