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Maine rates for HCPCS 25526

Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.07 / $1,005.32 / $1,204.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.88 / $1,299.14 / $1,848.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.57 / $1,445.51 / $2,066.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.33 / $1,396.88 / $2,142.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.07 / $1,122.09 / $1,204.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.49 / $1,275.64 / $1,920.13