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Maine rates for HCPCS 28665

Cltx Interphalangeal Joint Dislocation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $161.68 / $195.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.31 / $165.80 / $244.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.02 / $213.26 / $311.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.28 / $191.92 / $337.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.55 / $164.74 / $205.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.91 / $203.10 / $305.06