go back

Texas 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
$767.00 / $3,352.00 / $11,453.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.49 / $623.10 / $1,031.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,084.66 / $9,092.56 / $18,364.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.32 / $688.19 / $980.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.88 / $4,824.08 / $4,824.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.82 / $700.82 / $700.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.54 / $783.75 / $1,201.31
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.11 / $702.56 / $1,131.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.76 / $914.12 / $1,133.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.64 / $750.71 / $1,063.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.54 / $707.28 / $1,183.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.39 / $811.89 / $1,249.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.00 / $7,953.00 / $16,194.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.32 / $631.04 / $996.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.11 / $589.40 / $820.58