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Virginia 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
$139.85 / $177.26 / $274.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.32 / $181.57 / $300.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.03 / $184.39 / $822.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $205.05 / $373.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.16 / $230.99 / $272.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $247.00 / $358.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.55 / $220.51 / $805.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.75 / $206.75 / $335.48