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Removal Of A Sesamoid Bone In The Foot

Virginia 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 $1,549 · 10th–90th $363$8,9130%5%10th90th$1,549Professionalmedian $479 · 10th–90th $302$9330%10%10th90th$479$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$501.19
Median
$3,630.78
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$812.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$1,122.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,165.95
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$812.83