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Maine rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.88 / $874.40 / $974.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.00 / $1,039.18 / $1,524.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.96 / $1,169.26 / $1,774.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.46 / $1,151.75 / $1,766.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.88 / $804.58 / $974.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.58 / $912.28 / $1,619.82