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Wyoming rates for HCPCS 28455

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.56 / $265.16 / $336.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.60 / $1,373.60 / $1,373.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.00 / $501.00 / $757.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.22 / $522.66 / $995.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.64 / $576.03 / $960.70