go back

Maine rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.12 / $780.52 / $902.21
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
$760.46 / $984.12 / $1,409.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.39 / $1,096.90 / $1,596.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.85 / $1,065.42 / $1,634.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.12 / $799.00 / $902.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.50 / $930.06 / $1,474.23