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Maine rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $912.01 / $8,709.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $912.01 / $8,709.64