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Maine rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.24 / $723.92 / $864.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.20 / $934.61 / $1,330.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.38 / $1,037.76 / $1,487.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.92 / $1,005.34 / $1,542.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.24 / $818.10 / $864.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.39 / $916.83 / $1,227.90