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Pennsylvania 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
$138.04 / $177.83 / $380.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $208.93 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $331.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $407.38
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $323.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $478.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $190.55 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $162.18 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $316.23