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Maine rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.55 / $213.06 / $291.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.84 / $267.68 / $376.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.79 / $335.15 / $489.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.45 / $310.99 / $546.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.55 / $194.08 / $291.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.71 / $306.69 / $495.41