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Maine rates for HCPCS 25630

Cltx Carpal Bone Fx W/O Manj Each Bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.62 / $333.55 / $500.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.80 / $390.34 / $548.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.83 / $460.72 / $640.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.63 / $446.45 / $711.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.18 / $387.54 / $604.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.39 / $414.68 / $579.80