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Removal Of A Sesamoid Bone In The Foot

Texas 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 $3,467 · 10th–90th $479$12,0230%5%10th90th$3,467Professionalmedian $457 · 10th–90th $302$7410%10%10th90th$457$50.0$200.0$1.0K$5.0K$20.0K

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
$954.99
Median
$3,715.35
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,168.69
Typical High
$8,128.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$645.65
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,754.23
Typical High
$3,467.37
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$354.81
Typical High
$524.81
Christus
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$870.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$33,884.42
Typical High
$33,884.42
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$3,981.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$3,715.35
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$269.15
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$691.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$489.78
Typical High
$489.78