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West Virginia 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
$602.56 / $602.56 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $977.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $794.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $20,417.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $933.25