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Maine rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $590.85 / $842.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.99 / $642.41 / $939.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.84 / $921.78 / $1,347.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.53 / $806.26 / $1,431.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $590.85 / $842.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.02 / $923.68 / $1,322.84