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Montana rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $427 · 10th–90th $309–$6170%20%10th90th$427Professionalmedian $347 · 10th–90th $186–$8320%10%10th90th$347$100.0$500.0$2.0K$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $346.74 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $302.00 / $524.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $602.56
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $602.56
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $389.05 / $660.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $338.84 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $616.60