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Maryland 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
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,621.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $691.83 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $691.83 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,258.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $954.99