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Maine rates for HCPCS 28636

Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.13 / $252.90 / $399.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.70 / $269.06 / $428.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.25 / $417.75 / $688.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.01 / $443.12 / $773.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.35 / $252.90 / $399.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.92 / $398.63 / $711.38