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Oklahoma 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
$1,000.00 / $3,467.37 / $6,760.83
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
$6,025.60 / $9,332.54 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,137.96 / $14,125.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,762.47 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $831.76