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Maine rates for HCPCS 28576

Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.45 / $409.24 / $489.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.52 / $523.50 / $766.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.23 / $597.59 / $836.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.82 / $579.45 / $888.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.45 / $435.88 / $489.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.13 / $521.70 / $888.91