go back

Maine rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.42 / $772.65 / $918.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.50 / $995.83 / $1,417.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.84 / $1,102.59 / $1,585.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.80 / $1,071.15 / $1,643.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.42 / $730.98 / $918.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,489.22 / $6,489.22 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.80 / $864.39 / $1,126.33