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Maine rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $288.75 / $327.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $243.12 / $389.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.14 / $305.60 / $444.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.86 / $377.91 / $532.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.31 / $352.61 / $593.33
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
$214.15 / $288.75 / $438.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.49 / $346.39 / $520.16