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Removal Of A Sesamoid Bone In The Foot

Montana 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 $646 · 10th–90th $525$9120%20%10th90th$646Professionalmedian $537 · 10th–90th $331$1,0000%10%20%10th90th$537$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$758.58
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$851.14
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$831.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$537.03
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$891.25