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North Carolina rates for HCPCS 28315

Sesamoidectomy, first toe (separate procedure)

Facilitymedian $1,000 · 10th–90th $417$8,7100%5%10%10th90th$1,000Professionalmedian $490 · 10th–90th $316$1,0230%10%10th90th$490$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,659.59 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $549.54 / $977.24
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $1,122.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $512.86 / $831.76
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $912.01 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $6,760.83 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $467.74 / $891.25
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $33,884.42
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,981.07