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Kansas 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
$891.25 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,691.53 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $707.95 / $13,182.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,754.40 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $676.08