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Maine rates for HCPCS 28173

Radical Resection Tumor Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.73 / $759.65 / $942.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.78 / $971.60 / $1,382.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.87 / $1,070.23 / $1,570.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.89 / $1,043.49 / $1,600.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.73 / $888.00 / $942.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.41 / $1,015.11 / $1,455.60