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Michigan 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
$776.25 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,412.54 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,513.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $933.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,120.11 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $891.25