go back

Pennsylvania 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
$977.24 / $4,073.80 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,584.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $645.65 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $1,202.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,202.26
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,096.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $19,952.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,778.28
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,258.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,230.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $630.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $478.63 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,148.15