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Alabama rates for HCPCS 28103

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,370.32 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $794.33