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Maine rates for HCPCS 25685

Open Tx Trans-Scaphoperilunar Fracture Dislc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.60 / $774.91 / $927.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.38 / $1,000.84 / $1,425.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.87 / $1,113.39 / $1,592.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.16 / $1,077.34 / $1,652.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.71 / $844.83 / $927.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $1,016.13 / $1,480.16