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Colorado 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
$378.97 / $3,189.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.21 / $265.16 / $371.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.61 / $377.90 / $606.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.32 / $204.32 / $643.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.81 / $374.15 / $551.21
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.17 / $345.84 / $453.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.67 / $367.56 / $519.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.89 / $396.96 / $668.25