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Florida rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.55 / $2,747.00 / $10,632.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$76.34 / $81.12 / $94.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.76 / $132.15 / $219.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $117.93 / $146.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.51 / $100.91 / $120.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.41 / $166.06 / $264.42
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,403.00 / $4,241.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.86 / $118.15 / $156.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $106.60 / $180.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.82 / $143.69 / $274.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.34 / $113.87 / $113.87