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Maine rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $2,041.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,778.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $2,187.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,737.80