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Maine rates for HCPCS 28645

Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $724.44 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $758.58 / $1,348.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,621.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,318.26