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Iowa rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $3,802 · 10th–90th $339–$10,4710%5%10th90th$3,802Professionalmedian $331 · 10th–90th $174–$7240%10%10th90th$331$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $3,801.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $309.03 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $549.54 / $977.24
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $389.05 / $954.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $724.44 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $691.83 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $707.95 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $691.83 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $338.84 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,912.51 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $380.19 / $812.83
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $741.31