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California 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
$3,090.30 / $7,585.78 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,317.64 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,698.24
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $4,168.69 / $11,481.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,548.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $691.83 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,445.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $28,840.32 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,370.32 / $5,370.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,584.89
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $14,125.38 / $28,840.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $1,318.26