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Wisconsin rates for HCPCS 28490

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

Facilitymedian $2,818 · 10th–90th $191$5,3700%10%10th90th$2,818Professionalmedian $219 · 10th–90th $117$5500%5%10%10th90th$219$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $269.15 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $162.18 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $245.47 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $457.09 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $380.19 / $691.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $407.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $288.40 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $162.18
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $354.81 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $524.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $389.05 / $3,890.45
Quartz
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$275.42 / $275.42 / $549.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $691.83 / $1,071.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $467.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $831.76 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $218.78 / $870.96