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Rhode Island rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.97 / $156.41 / $219.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.64 / $156.68 / $280.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.50 / $218.40 / $293.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.81 / $183.23 / $315.52