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Maine rates for HCPCS 28420

Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.82 / $1,368.34 / $1,622.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.28 / $1,765.54 / $2,487.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.86 / $1,946.64 / $2,810.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.89 / $1,880.00 / $2,884.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.82 / $1,426.93 / $1,622.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.99 / $1,692.15 / $2,592.33