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Removal Of A Sesamoid Bone In The Foot

New Mexico 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 $759 · 10th–90th $427$8,9130%10%10th90th$759Professionalmedian $457 · 10th–90th $302$8320%10%20%10th90th$457$50.0$200.0$1.0K$5.0K

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
$478.63
Median
$724.44
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$7,943.28
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,606.93
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$870.96