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Maine rates for HCPCS 25136

Exc/Curtg Cyst/Tumor Carpal Bones W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.51 / $531.09 / $626.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.94 / $680.63 / $973.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.53 / $757.99 / $1,086.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.02 / $735.88 / $1,128.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.77 / $570.79 / $626.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.39 / $658.28 / $1,014.59