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Missouri 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
$186.21 / $2,511.89 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $165.96 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $177.83 / $645.65
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$416.87 / $416.87 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $208.93 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $691.83 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $251.19