go back

Louisiana rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $212.40 / $297.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.85 / $226.57 / $289.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.04 / $222.29 / $313.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.77 / $199.72 / $359.44