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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
$588.84 / $724.44 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $954.99 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,445.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,698.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,380.38