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Maine rates for HCPCS 28446

Open Osteochondral Autograft Talus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,229.72 / $1,542.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.03 / $1,659.10 / $2,352.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.89 / $1,850.59 / $2,634.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.68 / $1,777.94 / $2,727.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,253.94 / $1,936.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.89 / $1,687.64 / $2,466.98