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New Hampshire 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
$162.18 / $467.74 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $234.42 / $407.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $208.93 / $389.05
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $177.83