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Maine rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.66 / $671.44 / $800.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.90 / $865.64 / $1,233.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.92 / $960.52 / $1,378.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.44 / $931.89 / $1,429.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.66 / $729.27 / $800.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.45 / $877.74 / $1,253.26