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Maine rates for HCPCS 26675

Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,348.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $1,023.29