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Maine rates for HCPCS 25393

Osteoplasty Radius&Ulna Lengthening W/Autograf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.91 / $1,179.17 / $1,423.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.90 / $1,532.11 / $2,168.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.76 / $1,708.68 / $2,431.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.32 / $1,638.68 / $2,513.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.91 / $1,379.08 / $1,423.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.16 / $1,525.94 / $2,246.98