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Ohio rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $5,012 · 10th–90th $339$11,2200%10%10th90th$5,012Professionalmedian $269 · 10th–90th $145$5250%10%20%10th90th$269$2.0$10.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $4,265.80 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $309.03 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,370.32 / $22,908.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $144.54 / $251.19
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $288.40 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $575.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $123.03
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $8,912.51
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $316.23 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $5,370.32 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $281.84 / $524.81