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Maine rates for HCPCS 28825

Amputation Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.80 / $685.77 / $9,372.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.56 / $468.81 / $685.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.02 / $232.96 / $328.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.09 / $378.93 / $657.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.34 / $356.55 / $584.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.80 / $2,163.48 / $9,372.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $468.81 / $685.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.02 / $704.59 / $913.36