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Maine rates for HCPCS 25246

Injection Wrist Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.04 / $586.04 / $611.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $148.72 / $235.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.47 / $104.87 / $150.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.20 / $173.31 / $448.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.04 / $234.54 / $416.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.14 / $586.04 / $1,793.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.09 / $157.54 / $331.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.47 / $247.04 / $434.08