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Iowa 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
$630.96 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,148.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,047.13 / $17,782.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $812.83 / $3,981.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $812.83 / $1,023.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $1,122.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $891.25