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Maine rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,323.47 / $5,348.46 / $9,266.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.01 / $776.73 / $1,028.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.96 / $765.65 / $1,108.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.78 / $1,100.52 / $1,605.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.35 / $961.66 / $1,706.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,323.47 / $7,729.21 / $14,781.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.59 / $832.95 / $1,296.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.53 / $1,099.34 / $1,575.80