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Maine rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,148.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $1,348.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,071.52