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Maine rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $1,023.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $630.96 / $1,122.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $512.86 / $977.24