go back

Alaska rates for HCPCS 28495

Closed treatment of fracture great toe, phalanx or phalanges; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.80 / $501.35 / $850.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.06 / $478.77 / $781.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.08 / $547.29 / $1,099.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.00 / $815.10 / $1,024.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.38 / $765.00 / $1,032.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.60 / $903.20 / $993.52