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Vermont rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.90 / $146.62 / $169.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.38 / $497.38 / $637.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.83 / $191.92 / $524.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.78 / $220.39 / $323.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.17 / $212.40 / $323.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.33 / $200.05 / $591.19