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Removal Of A Sesamoid Bone In The Foot

Connecticut rates for HCPCS 28315

Surgical removal of a small, pea-shaped bone embedded in a tendon near the ball of the foot, most often beneath the big toe. It is performed when a sesamoid bone has become fractured, chronically inflamed, or otherwise damaged and has not improved with rest, padding, or other conservative care.

Facilitymedian $6,310 · 10th–90th $955$10,9650%10%10th90th$6,310Professionalmedian $490 · 10th–90th $302$1,0000%5%10%10th90th$490$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$954.99
Median
$6,025.60
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,882.50
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$645.65
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$1,148.15
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$954.99
Health New England
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Health New England
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$1,202.26