go back

Indiana 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
$213.80 / $3,467.37 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $147.91 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $141.25 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $117.49 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $128.82 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $239.88