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Washington, DC rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.03 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$101.36 / $101.36 / $115.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.84 / $135.15 / $327.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.76 / $155.58 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $194.79 / $404.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.19 / $343.93 / $343.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.70 / $292.50 / $413.78