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Maryland rates for HCPCS 28490

Closed treatment of fracture great toe, phalanx or phalanges; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $158.49 / $371.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $190.55 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $147.91 / $275.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $239.88