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Maine rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.83 / $288.02 / $432.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.41 / $388.77 / $544.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.29 / $461.45 / $645.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.22 / $445.96 / $716.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.40 / $356.53 / $600.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.08 / $416.77 / $579.16