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Maine rates for HCPCS 25365

Osteotomy Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.18 / $963.13 / $1,155.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.64 / $1,247.07 / $1,769.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.71 / $1,386.06 / $1,982.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.40 / $1,336.80 / $2,050.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.18 / $1,091.45 / $1,155.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.84 / $1,251.05 / $1,836.08