go back

Maine rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $328.36 / $367.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.78 / $315.89 / $367.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.14 / $320.17 / $446.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.52 / $407.15 / $606.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.25 / $350.14 / $577.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $337.77 / $420.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.03 / $390.12 / $530.09