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Maine rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,735.01 / $5,503.19 / $13,324.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,735.01 / $12,372.97 / $33,216.03