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Arizona 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
$1,047.13 / $2,818.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $275.42 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $169.82 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$416.87 / $416.87 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,202.26 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $234.42