go back

Maryland rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.32 / $139.72 / $338.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.96 / $147.76 / $162.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $95.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.37 / $179.19 / $330.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.52 / $199.33 / $266.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $41.00 / $128.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.70 / $159.13 / $308.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.13 / $177.70 / $219.30