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Surgery for a Broken Toe Bone

South Dakota 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 $692 · 10th–90th $407$4,3650%10%20%10th90th$692Professionalmedian $891 · 10th–90th $617$1,0960%10%20%10th90th$891$500.0$1.0K$2.0K$5.0K

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
$407.38
Median
$575.44
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,318.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83