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Maine rates for HCPCS 28495

Closed treatment of fracture great toe, phalanx or phalanges; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $229.09 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $512.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $213.80 / $380.19