Ankle fracture repair - non-surgical with manipulation
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the Ankle fracture repair - non-surgical with manipulation Standard Service Package (SSP MS027). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS J3010 | Facility Fee | Intramuscular injection of fentanyl citrate, 0.1mg |
| HCPCS 28435 | Facility Fee | Closed Repositioning and Fixation of Talus Fracture with Manipulation |
| HCPCS 85025 | Facility Fee | Complete blood count (CBC) with differential WBC |
| HCPCS 80048 | Facility Fee | Basic metabolic panel including calcium, bicarbonate, chloride, creatinine, glucose, potassium, sodium and BUN |
| HCPCS 99285 | Facility Fee | Ed Visit for Complex Medical Decision-making Involving History/Exam/counseling |
| HCPCS 73610 | Facility Fee | X-ray of ankle, 3 views |
| HCPCS 73630 | Facility Fee | X-ray of foot, 3+ views |
| HCPCS 99285 | Professional Fee | Ed Visit for Complex Medical Decision-making Involving History/Exam/counseling |
| HCPCS 28435 | Professional Fee | Closed Repositioning and Fixation of Talus Fracture with Manipulation |