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Maine rates for HCPCS 25491

Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $2,089.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,737.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,949.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,584.89