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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.24 / $364.51 / $385.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,759.86 / $5,759.86 / $5,759.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.14 / $429.29 / $715.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.47 / $500.99 / $903.30