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Removal Of A Sesamoid Bone In The Foot

New Jersey 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 $7,079 · 10th–90th $1,905$11,4820%10%10th90th$7,079Professionalmedian $479 · 10th–90th $302$1,2590%10%10th90th$479$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
$851.14
Median
$7,079.46
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$812.83
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,471.29
Typical High
$16,595.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$1,096.48