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Maine rates for HCPCS 28113

Ostectomy, complete excision; fifth metatarsal head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,290.87 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,202.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,445.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,290.87 / $5,011.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,148.15