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Maine rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.71 / $1,000.88 / $1,203.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.11 / $1,296.84 / $1,839.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.54 / $1,443.98 / $2,060.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.15 / $1,389.73 / $2,131.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.71 / $1,096.71 / $1,203.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.10 / $1,323.56 / $1,906.87