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West Virginia 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
$131.83 / $257.04 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $144.54 / $269.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $158.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $891.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $371.54 / $1,174.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $204.17