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Maine rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.61 / $583.45 / $778.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.25 / $842.79 / $1,203.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.07 / $935.41 / $1,343.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.07 / $909.48 / $1,395.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.24 / $583.45 / $1,013.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.38 / $726.77 / $1,328.19