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Maine rates for HCPCS 28810

Amputation Metatarsal W/Toe Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.13 / $587.74 / $2,038.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.43 / $444.20 / $668.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.63 / $572.82 / $810.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.43 / $647.91 / $915.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.79 / $609.50 / $935.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.13 / $587.74 / $9,713.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.43 / $541.94 / $679.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.87 / $585.35 / $846.17