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Surgery for a Broken Toe Bone

South Carolina 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 $5,129 · 10th–90th $490$16,5960%5%10%10th90th$5,129$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$645.65
Median
$8,709.64
Typical High
$16,595.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,025.60
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$2,570.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$10,232.93
Typical High
$16,595.87