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Nevada rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $3,467 · 10th–90th $309–$12,0230%10%20%10th90th$3,467Professionalmedian $316 · 10th–90th $174–$6760%10%20%10th90th$316$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$309.03 / $2,818.38 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $316.23 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,022.64 / $14,454.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $245.47 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $338.84 / $562.34
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $288.40 / $537.03
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $263.03 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $323.59 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,951.21 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $323.59 / $588.84