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Maine rates for HCPCS 28515

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.95 / $308.95 / $377.46
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$204.64 / $285.79 / $349.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.94 / $152.65 / $244.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.96 / $192.77 / $281.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.73 / $232.98 / $340.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.67 / $221.25 / $374.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.43 / $308.95 / $651.48
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$129.46 / $204.64 / $349.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.94 / $171.05 / $208.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.18 / $217.25 / $345.11