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Nebraska 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
$323.59 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $288.40 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $218.78 / $602.56
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
$162.18 / $288.40 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $331.13 / $416.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $346.74