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Arkansas 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
$501.19 / $1,412.54 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $630.96 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $5,495.41 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $812.83