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Connecticut 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
$3,162.28 / $5,495.41 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $1,174.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $17,378.01 / $26,915.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $758.58 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $1,096.48
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,964.78 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $645.65 / $1,071.52