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Maine rates for HCPCS 25574

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,952.33 / $4,952.33 / $4,952.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,952.33 / $4,952.33 / $4,952.33