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California 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
$1,174.90 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $162.18 / $363.08
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $223.87 / $1,778.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $338.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $186.21 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $323.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $3,890.45
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $204.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $181.97 / $275.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $346.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $478.63
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $288.40