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Rhode Island 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
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.67 / $729.29 / $910.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.16 / $743.48 / $1,104.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.46 / $914.98 / $1,257.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,007.00 / $6,315.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.57 / $861.48 / $1,253.00