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Maine rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.37 / $1,528.68 / $1,528.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,528.68 / $1,528.68 / $1,528.68