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Wyoming 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
$621.50 / $624.45 / $788.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.00 / $6,116.00 / $6,116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.00 / $1,429.00 / $2,162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.39 / $1,243.00 / $1,728.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $14,287.46 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.83 / $1,221.71 / $1,899.03