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Maine rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $2,187.76 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $398.11 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $389.05 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $363.08 / $691.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $2,187.76 / $9,332.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $436.52 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $512.86 / $831.76