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Maine rates for HCPCS 25442

Arthroplasty W/Prosthetic Rplcmt Distal Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.15 / $855.24 / $1,021.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.62 / $1,099.51 / $1,569.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.49 / $1,225.20 / $1,755.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.73 / $1,185.60 / $1,818.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.15 / $921.15 / $1,021.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.34 / $1,081.28 / $1,629.10