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Maine rates for HCPCS 25624

Closed treatment of carpal scaphoid (navicular) fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,071.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,445.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $1,096.48