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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
$2,041.74 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $812.83 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,079.46 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $1,122.02