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Maine rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $1,819.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $933.25 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,412.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,698.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,380.38