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Maine rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $912.01 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,445.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,659.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,318.26