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Maine rates for HCPCS 25645

Open Tx Carpal Bone Fracture Oth/Thn Scaphoid Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.60 / $2,751.60 / $2,751.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.77 / $558.79 / $930.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.88 / $780.20 / $1,113.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.20 / $865.87 / $1,243.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.53 / $841.75 / $1,291.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.60 / $2,751.60 / $2,751.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.56 / $653.72 / $1,086.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.20 / $749.22 / $1,015.31