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Maine rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.05 / $694.16 / $795.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.84 / $864.27 / $1,248.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.05 / $954.17 / $1,417.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.33 / $943.34 / $1,447.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.05 / $606.27 / $795.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.10 / $793.30 / $1,310.07