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Maine rates for HCPCS 25680

Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $794.33 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,230.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,445.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,148.15