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New York rates for HCPCS 28315

Sesamoidectomy, first toe (separate procedure)

Facilitymedian $4,365 · 10th–90th $525$11,4820%5%10th90th$4,365Professionalmedian $501 · 10th–90th $316$1,1480%10%10th90th$501$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $3,801.89 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $489.78 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $489.78 / $1,174.90
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $2,398.83 / $10,964.78
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,290.87 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $630.96 / $1,621.81
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $616.60 / $1,202.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $776.25 / $1,096.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $602.56 / $1,000.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $467.74 / $467.74
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $645.65 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $616.60 / $1,548.82
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $1,548.82
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $1,174.90