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Hawaii 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 / $150.88 / $152.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.60 / $247.63 / $297.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.14 / $276.02 / $317.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.48 / $217.91 / $247.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $242.45 / $298.16
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.85 / $179.48 / $254.80