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Tennessee 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 / $169.60 / $280.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.03 / $215.02 / $334.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.70 / $222.06 / $349.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.88 / $1,359.20 / $1,575.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.44 / $201.58 / $378.86