go back

Maine rates for HCPCS 25565

Closed Tx Radial&Ulnar Shaft Fractures W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.41 / $794.42 / $5,454.64
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$737.83 / $1,024.45 / $1,024.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.32 / $758.41 / $5,454.64
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$543.27 / $737.83 / $1,024.45