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Setting a Broken Midfoot Bone by Hand

Virginia 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 $513 · 10th–90th $269$5,8880%5%10%10th90th$513Professionalmedian $309 · 10th–90th $234$6030%10%10th90th$309$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
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$2,630.27
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$575.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$676.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$524.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$1,348.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$549.54