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Maine rates for HCPCS 28022

Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $478.63 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $1,122.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $524.81 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $954.99