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Maine rates for HCPCS 28450

Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.77 / $242.77 / $269.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $220.46 / $336.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.20 / $259.08 / $376.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.24 / $307.83 / $441.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $296.31 / $484.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.03 / $242.77 / $419.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.43 / $286.14 / $442.64