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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $165.96 / $295.12