go back

Maine rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.74 / $140.34 / $198.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.58 / $148.91 / $214.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.97 / $215.13 / $307.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.15 / $195.38 / $346.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.59 / $140.34 / $198.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.08 / $211.22 / $317.10