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Open Surgery For A Broken Sesamoid Bone Of The Foot

Minnesota rates for HCPCS 28531

Opens the ball of the foot beneath the big toe through an incision to treat a fracture of a sesamoid, one of the two small bones embedded in the tendon there. The surgeon exposes the broken bone, repositions the pieces and secures them with small hardware when that is needed, or removes a fragment that cannot be salvaged. It is chosen when protecting the foot alone has not settled the pain or the fragments will not stay in place.

Facilitymedian $1,380 · 10th–90th $295$21,3800%5%10th90th$1,380Professionalmedian $513 · 10th–90th $229$1,1480%5%10%10th90th$513$50.0$200.0$1.0K$5.0K$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
$186.21
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$13,489.63
Typical High
$32,359.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$630.96
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$1,412.54
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$2,344.23
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$707.95
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$2,238.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$691.83
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$6,760.83
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$489.78
Typical High
$1,047.13