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Surgery for a Broken Toe Bone

West Virginia 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.

Rates data updated July 2026.

Facilitymedian $537 · 10th–90th $389$1,7380%20%10th90th$537$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
$389.05
Median
$537.03
Typical High
$1,412.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,454.71
Typical High
$9,120.11