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Maine rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.64 / $2,305.84 / $2,305.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.25 / $540.78 / $755.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.58 / $570.09 / $822.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.55 / $808.88 / $1,190.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.57 / $724.24 / $1,285.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.64 / $2,305.84 / $5,042.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.68 / $582.80 / $776.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.79 / $776.27 / $1,187.50