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Indiana 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
$570.13 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.43 / $595.64 / $769.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,890.00 / $30,900.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.24 / $601.33 / $853.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $782.35 / $1,173.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.82 / $698.53 / $1,005.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,747.89 / $6,747.89 / $7,998.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.42 / $775.98 / $1,238.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,051.00 / $11,452.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.99 / $660.84 / $1,150.41