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New Mexico rates for HCPCS 28455

Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each

Facilitymedian $407 · 10th–90th $282–$3,1620%10%20%10th90th$407Professionalmedian $295 · 10th–90th $240–$4680%20%10th90th$295$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $407.38 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $295.12 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $602.56 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $380.19 / $891.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $218.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $501.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,318.26 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $562.34