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Vermont rates for HCPCS 28490

Closed treatment of fracture great toe, phalanx or phalanges; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $281.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $204.17 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $354.81