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Washington, DC 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
$398.11 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $1,288.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $2,398.83 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $691.83 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $794.33 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $13,489.63 / $41,686.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $1,071.52