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Maine rates for HCPCS 28130

Talectomy Astragalectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.60 / $683.03 / $802.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.89 / $826.80 / $1,208.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.03 / $963.47 / $1,328.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.95 / $912.82 / $1,400.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.60 / $802.89 / $803.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.58 / $869.92 / $1,165.07