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Washington, DC 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
$645.65 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $1,621.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $2,398.83 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,258.93 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $13,489.63 / $41,686.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $812.83 / $1,737.80