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Arizona 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
$1,965.00 / $3,617.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.13 / $593.15 / $1,467.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.65 / $739.02 / $923.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.33 / $704.90 / $1,194.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.00 / $765.53 / $9,251.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.76 / $631.44 / $4,694.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,408.00 / $7,457.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.36 / $591.59 / $1,160.80