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Maine rates for HCPCS 28605

Closed Tx Tarsometatarsal Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.43 / $329.85 / $424.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.61 / $413.62 / $578.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.03 / $487.65 / $712.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.36 / $476.08 / $788.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.43 / $323.97 / $424.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.33 / $446.45 / $715.26