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Vermont 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
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $831.76 / $1,348.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $2,511.89