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Toe Joint Dislocation Set Under Anesthesia

Virginia rates for HCPCS 28635

Treatment of a dislocation where a toe meets the ball of the foot, put back in place through the skin with no incision made. Anesthesia or sedation is given so the muscles relax and the joint can be guided back into position. The toe is then supported while the stretched ligaments heal.

Facilitymedian $1,000 · 10th–90th $141$5,8880%5%10th90th$1,000Professionalmedian $178 · 10th–90th $126$3310%10%10th90th$178$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$2,570.40
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$257.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Sentara
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$3,388.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$309.03