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North Dakota 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
$260.00 / $291.39 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.62 / $270.58 / $305.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.18 / $550.04 / $649.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.58 / $591.57 / $827.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.00 / $340.58 / $456.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $534.57 / $1,761.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $511.51 / $656.61