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Maine rates for HCPCS 26489

Transfer/Transplant Tendon Palmar W/Graft Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,874.42 / $2,874.42 / $2,874.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.21 / $1,056.28 / $1,197.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.35 / $1,284.22 / $1,837.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.33 / $1,388.78 / $2,130.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,874.42 / $2,874.42 / $2,874.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.21 / $1,048.01 / $1,197.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.80 / $1,243.17 / $1,867.71