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Arkansas rates for HCPCS 28455

Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.99 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.68 / $292.36 / $391.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.96 / $1,458.96 / $1,750.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.83 / $382.28 / $428.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.26 / $167.26 / $167.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.00 / $421.12 / $493.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.40 / $351.04 / $545.75