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Virginia rates for HCPCS 28455

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

Facilitymedian $525 · 10th–90th $275–$5,8880%5%10%10th90th$525Professionalmedian $302 · 10th–90th $229–$5620%10%10th90th$302$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$288.40 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $295.12 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $575.44
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $323.59 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $346.74 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $323.59 / $380.19
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $524.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $1,348.96
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $354.81 / $1,380.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,047.13 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $331.13 / $549.54