go back

Arizona rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.18 / $2,260.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.84 / $132.97 / $322.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.57 / $156.57 / $156.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.71 / $337.73 / $552.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.31 / $175.89 / $208.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.88 / $155.94 / $264.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.83 / $155.08 / $1,053.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$416.44 / $416.44 / $416.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.65 / $158.84 / $1,086.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.53 / $144.55 / $275.58