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Surgery for a Broken Toe Bone

Pennsylvania rates for HCPCS 28525

Repairs a broken bone in a toe through an incision, lining the fragments up under direct view and holding them in place with a pin, screw or wire when needed. It is used when the pieces are badly out of position, involve a joint, or cannot be held straight in a splint or buddy strapping. The foot is protected in a stiff-soled shoe or boot while the bone knits.

Facilitymedian $4,266 · 10th–90th $724$8,3180%5%10th90th$4,266$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,265.80
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,918.31
Typical High
$10,964.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,630.78
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,981.07
Typical High
$10,471.29