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Maine rates for HCPCS 25391

Osteoplasty, radius OR ulna; lengthening with autograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.58 / $1,071.07 / $1,256.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.89 / $1,353.50 / $1,918.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.34 / $1,507.67 / $2,149.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.08 / $1,449.83 / $2,224.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.58 / $1,189.41 / $1,583.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.86 / $1,384.10 / $1,988.80