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Massachusetts rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.71 / $1,886.00 / $3,625.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$90.73 / $90.73 / $106.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $141.71 / $330.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.82 / $627.00 / $2,713.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$476.87 / $476.87 / $476.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.63 / $274.08 / $1,069.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.75 / $203.99 / $364.17
BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$111.13 / $142.80 / $235.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.32 / $273.20 / $394.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.05 / $235.96 / $415.98
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.47 / $217.10 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.16 / $210.04 / $290.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $331.71 / $434.67
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.81 / $214.81 / $509.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.96 / $198.11 / $310.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$476.87 / $476.87 / $476.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $297.64 / $1,069.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.88 / $228.23 / $475.12