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Maine rates for HCPCS 28515

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $309.03 / $380.19
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$128.82 / $288.40 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $213.80 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $223.87 / $338.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $457.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $309.03 / $645.65
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$128.82 / $204.17 / $346.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $213.80 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $354.81