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Setting a Broken Midfoot Bone by Hand

Hawaii rates for HCPCS 28455

Treatment without surgery of a break in one of the bones in the middle of the foot. The bone is pushed back into position by hand and the foot is held in a cast, splint or boot while it heals, and it is charged for each bone treated this way.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $1,000$2,8840%50%10th$2,884Professionalmedian $288 · 10th–90th $245$4370%20%10th90th$288$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$269.15
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$426.58
HMSA
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$416.87
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$316.23
Typical High
$407.38