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Maine rates for HCPCS 25355

Osteotomy Radius Middle/Proximal Third

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.02 / $806.03 / $965.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.79 / $1,041.50 / $1,481.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.72 / $1,179.18 / $1,656.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.85 / $1,119.80 / $1,717.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.02 / $923.82 / $965.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.61 / $1,008.41 / $1,538.79