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Maine rates for HCPCS 28430

Closed treatment of talus fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.60 / $2,751.60 / $2,751.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.78 / $228.85 / $304.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.37 / $285.85 / $410.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.68 / $343.97 / $502.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.88 / $326.94 / $550.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.60 / $2,751.60 / $2,751.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.06 / $266.98 / $304.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.03 / $320.64 / $484.33