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Massachusetts 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
$141.25 / $2,089.30 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $371.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $512.86 / $3,467.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$549.54 / $549.54 / $549.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $363.08
BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$112.20 / $112.20 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $218.78 / $407.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $234.42 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $316.23
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $416.87
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $512.86
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $512.86 / $3,467.37
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$549.54 / $549.54 / $549.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $426.58