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Alaska rates for HCPCS 28490

Closed treatment of fracture great toe, phalanx or phalanges; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $4,677.35 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $616.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $251.19 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $724.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $812.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $199.53 / $741.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $194.98 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $537.03 / $724.44