go back

Louisiana 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
$173.78 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $389.05 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $229.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $239.88