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Maine rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $568.10 / $671.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.71 / $729.50 / $1,042.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.69 / $810.94 / $1,163.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.95 / $787.86 / $1,208.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $608.19 / $883.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.63 / $727.13 / $1,085.16