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Maine rates for HCPCS 25136

Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,148.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,348.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $1,071.52