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Oregon 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
$416.87 / $616.60 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $426.58 / $691.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $691.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $524.81 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $426.58 / $630.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $524.81 / $707.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,011.87 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,365.16 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $758.58