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Maine rates for HCPCS 28530

Closed Treatment Sesamoid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $111.55 / $147.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $132.91 / $200.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.54 / $167.14 / $238.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.97 / $160.51 / $270.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.31 / $119.53 / $183.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.97 / $155.38 / $251.39