go back

Nevada 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
$304.99 / $1,706.00 / $4,473.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.25 / $274.82 / $1,373.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.16 / $288.77 / $428.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.09 / $150.09 / $150.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.70 / $348.59 / $496.11
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $263.25 / $402.18
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.74 / $1,768.74 / $1,768.74
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $229.76 / $388.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.81 / $311.62 / $464.81