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Maine rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.86 / $758.50 / $906.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.44 / $978.92 / $1,394.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.59 / $1,094.29 / $1,558.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.55 / $1,053.51 / $1,616.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.86 / $821.89 / $906.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.71 / $945.73 / $1,449.18