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Florida 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
$851.14 / $4,570.88 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $5,248.07 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $812.83
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $12,302.69 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $398.11