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Maine rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.55 / $1,172.72 / $1,416.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.19 / $1,523.43 / $2,156.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.10 / $1,699.30 / $2,418.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.08 / $1,629.15 / $2,499.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.55 / $1,295.60 / $1,416.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.94 / $1,509.79 / $2,022.04