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Maine rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.15 / $1,084.63 / $1,306.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.25 / $1,400.56 / $1,989.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.61 / $1,568.22 / $2,231.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.25 / $1,503.23 / $2,306.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.15 / $1,206.88 / $1,306.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.21 / $1,388.42 / $2,066.30