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Maine rates for HCPCS 25830

Arthrd Dstl Rad/Uln Jt Sgmtl Rscj Ulna W/Wo Bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.78 / $1,120.11 / $1,240.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.84 / $1,319.80 / $1,967.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.95 / $1,535.81 / $2,277.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.83 / $1,486.55 / $2,280.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.78 / $1,240.54 / $1,931.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.71 / $1,306.51 / $1,999.20