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Minnesota 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
$128.82 / $147.91 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $870.96 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $549.54 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $645.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $524.81 / $1,023.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $251.19 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $295.12 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,819.70 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $251.19 / $478.63