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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.73 / $621.19 / $1,624.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.24 / $692.02 / $1,073.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.89 / $804.92 / $1,317.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.66 / $931.79 / $21,310.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.72 / $830.70 / $4,694.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,390.00 / $11,621.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.49 / $741.06 / $1,249.74