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Maine rates for HCPCS 25420

Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.84 / $1,217.82 / $1,470.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.36 / $1,581.89 / $2,239.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.98 / $1,764.47 / $2,510.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.90 / $1,692.58 / $2,596.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.84 / $1,394.67 / $1,470.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.49 / $1,567.01 / $2,321.38