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Virginia rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $1,230 · 10th–90th $195–$8,9130%5%10th90th$1,230Professionalmedian $309 · 10th–90th $174–$5500%10%10th90th$309$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
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $4,365.16 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $302.00 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $15,488.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $269.15 / $457.09
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $269.15 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $338.84 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $407.38 / $478.63
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $575.44 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $338.84 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $239.88 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $457.09 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $309.03 / $602.56