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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $281.84 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $257.04 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $239.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $208.93 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $524.81 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $281.84