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Maine rates for HCPCS 28450

Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $302.00 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $316.23 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $457.09