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North Dakota 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
$603.83 / $603.83 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.49 / $603.83 / $627.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.22 / $1,358.18 / $1,597.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.25 / $1,513.11 / $2,015.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.83 / $761.76 / $1,051.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.01 / $1,124.35 / $1,564.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,667.00 / $8,667.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.01 / $1,124.35 / $1,417.77