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Maine rates for HCPCS 28112

Ostectomy, complete excision; other metatarsal head (second, third or fourth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.13 / $627.73 / $1,080.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.74 / $426.89 / $627.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.22 / $420.26 / $603.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.64 / $613.04 / $930.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.30 / $594.39 / $1,054.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.13 / $235.13 / $1,080.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $509.20 / $760.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.71 / $661.56 / $978.55