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New Jersey 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
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $616.60 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,949.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $23,988.33 / $36,307.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $1,479.11