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Maine rates for HCPCS 26055

Tendon Sheath Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.75 / $3,115.30 / $5,890.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.62 / $498.19 / $765.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.42 / $396.96 / $574.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.32 / $637.17 / $1,332.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.10 / $725.88 / $1,165.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.75 / $3,700.01 / $7,451.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.99 / $542.60 / $916.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.04 / $733.05 / $1,359.75