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Maine rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.80 / $163.80 / $227.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $201.44 / $293.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.86 / $255.02 / $372.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.73 / $234.80 / $412.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $175.32 / $227.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.66 / $239.74 / $373.22