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Maine rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.46 / $892.17 / $1,068.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.92 / $1,152.96 / $1,638.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.97 / $1,281.77 / $1,834.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.07 / $1,238.07 / $1,899.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.46 / $983.45 / $1,363.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.44 / $1,148.07 / $1,701.75