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Maine rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.96 / $4,952.87 / $4,952.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.96 / $4,952.87 / $23,652.31