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Setting a Broken Midfoot Bone by Hand

South Dakota rates for HCPCS 28455

Treatment without surgery of a break in one of the bones in the middle of the foot. The bone is pushed back into position by hand and the foot is held in a cast, splint or boot while it heals, and it is charged for each bone treated this way.

Rates data updated July 2026.

Facilitymedian $468 · 10th–90th $324$2,2910%10%10th90th$468Professionalmedian $457 · 10th–90th $224$6920%10%10th90th$457$200.0$500.0$1.0K$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$660.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$616.60
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$645.65
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$776.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$660.69