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Tennessee 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
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.73 / $623.40 / $1,000.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.90 / $783.76 / $1,271.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.35 / $818.62 / $1,259.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.36 / $26,542.00 / $28,559.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,694.09 / $4,694.09 / $5,328.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,238.00 / $7,695.00 / $12,782.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.62 / $664.66 / $1,270.77