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Maine rates for HCPCS 25425

Repair of defect with autograft; radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.90 / $1,011.20 / $1,215.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.70 / $1,310.56 / $1,856.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.46 / $1,480.44 / $2,082.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.28 / $1,402.61 / $2,151.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.90 / $1,183.08 / $1,215.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.55 / $1,308.08 / $1,925.94