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Maine rates for HCPCS 25251

Removal Wrist Prosth Complicated W/Total Wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.46 / $758.69 / $907.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.79 / $979.38 / $1,394.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.57 / $1,089.56 / $1,558.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.96 / $1,053.98 / $1,616.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.46 / $829.18 / $907.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.43 / $983.17 / $1,462.46