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Removal Of A Sesamoid Bone In The Foot

Indiana 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 $8,710 · 10th–90th $407$17,7830%5%10%10th90th$8,710Professionalmedian $447 · 10th–90th $302$9330%10%10th90th$447$100.0$500.0$2.0K$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
$371.54
Median
$630.96
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$13,803.84
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$630.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$5,623.41
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$776.25