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Maine rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.63 / $1,214.74 / $1,472.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.02 / $1,581.44 / $2,238.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.27 / $1,767.09 / $2,507.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.07 / $1,691.62 / $2,595.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.63 / $1,310.50 / $1,472.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.16 / $1,589.74 / $2,316.77