go back

Maine rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $2,041.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,659.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,949.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $954.99 / $1,584.89