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Washington, DC 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
$154.88 / $1,584.89 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $331.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $288.40 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $371.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $302.00 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $549.54 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $177.83 / $363.08