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Virginia rates for HCPCS 28525

Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each

Facilitymedian $1,230 · 10th–90th $427–$7,9430%5%10th90th$1,230Professionalmedian $676 · 10th–90th $537–$1,1220%20%10th90th$676$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $3,630.78 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $724.44 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $676.08 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $602.56 / $954.99
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $12,882.50