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Maine rates for HCPCS 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,288.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,659.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,258.93