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Maine rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Facilitymedian $0 · 10th–90th $0–$2880%50%90th$0Professionalmedian $309 · 10th–90th $214–$6760%20%10th90th$309$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $288.40 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $346.74 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $724.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $269.15 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $602.56