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North Carolina 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
$254.21 / $434.00 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.21 / $284.70 / $521.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.89 / $115.89 / $117.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.68 / $426.80 / $745.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.83 / $244.83 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.66 / $398.06 / $709.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.21 / $348.78 / $555.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $358.00 / $358.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $452.91 / $777.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.72 / $361.18 / $797.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,205.65 / $1,205.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.72 / $2,035.29 / $2,184.98