go back

Mississippi rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.94 / $750.00 / $1,831.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$82.14 / $92.96 / $199.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.90 / $132.16 / $265.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.56 / $128.56 / $128.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.56 / $104.73 / $294.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.96 / $204.43 / $282.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $513.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.19 / $164.51 / $298.17