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Arizona 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
$1,965.00 / $4,094.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.58 / $383.20 / $624.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.83 / $464.95 / $581.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.06 / $502.02 / $773.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.87 / $532.24 / $9,251.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.92 / $462.42 / $3,959.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.00 / $7,341.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.44 / $418.84 / $763.26