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New Jersey 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
$270.45 / $3,374.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.25 / $272.11 / $446.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.20 / $386.39 / $838.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.77 / $403.83 / $416.21
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,243.64 / $3,890.91 / $6,905.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.92 / $334.91 / $698.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.25 / $370.53 / $868.11