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Maine rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.80 / $757.18 / $898.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,569.01 / $56,593.28 / $65,823.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.55 / $973.89 / $1,396.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.56 / $1,085.24 / $1,553.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.20 / $1,055.42 / $1,619.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.46 / $823.93 / $898.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.60 / $948.67 / $1,446.42