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North Carolina 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
$741.31 / $2,238.72 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,148.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $14,791.08 / $22,908.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,230.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $28,840.32 / $45,708.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $5,370.32