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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
$700.63 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.36 / $599.21 / $1,036.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.53 / $646.07 / $1,107.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.82 / $700.82 / $700.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.84 / $726.20 / $1,207.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.95 / $994.09 / $1,267.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,898.83 / $19,898.83 / $31,051.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.63 / $3,623.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.52 / $700.63 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.00 / $729.00 / $1,259.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.82 / $700.82 / $700.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.53 / $729.26 / $1,210.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.16 / $600.16 / $634.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.47 / $602.30 / $637.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.48 / $734.93 / $1,146.91