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Kentucky 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
$128.82 / $1,000.00 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $162.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $144.54 / $186.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $251.19