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Maine rates for HCPCS 28124

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe

Facilitymedian $1,660 · 10th–90th $977–$8,1280%10%20%10th90th$1,660Professionalmedian $490 · 10th–90th $331–$9550%10%10th90th$490$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,659.59 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $489.78 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $588.84 / $1,122.02
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $489.78 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $977.24