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Maine rates for HCPCS 28490

Closed treatment of fracture great toe, phalanx or phalanges; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $295.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $309.03