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Maine rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $14,791 · 10th–90th $14,791–$14,7910%50%100%$14,791Professionalmedian $339 · 10th–90th $182–$6170%5%10%10th90th$339$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $331.13 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $269.15 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $371.54 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $398.11 / $645.65
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $346.74 / $645.65