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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.71 / $615.32 / $1,458.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,524.23 / $5,524.23 / $5,524.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.94 / $640.26 / $1,108.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.64 / $619.20 / $1,388.93