go back

Maine rates for HCPCS 28270

Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)

Facilitymedian $1 · 10th–90th $0–$5,3700%20%10th90th$1Professionalmedian $501 · 10th–90th $331–$9770%20%10th90th$501$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.93 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $489.78 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $489.78 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $616.60 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $616.60 / $1,122.02
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $489.78 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $537.03 / $977.24