go back

Maine rates for HCPCS 28510

Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.03 / $152.03 / $154.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.07 / $121.23 / $154.75
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$74.97 / $97.07 / $116.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.24 / $160.78 / $239.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.41 / $185.70 / $264.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $181.23 / $278.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.62 / $152.03 / $240.93
Martin's Point
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$74.97 / $104.32 / $116.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.10 / $169.51 / $243.73