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Alaska rates for HCPCS 28102

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $758.58 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,995.26 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $891.25 / $4,168.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,137.96 / $3,162.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $3,235.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $831.76 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,691.53 / $3,467.37