go back

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
$2,070.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.51 / $390.38 / $625.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.63 / $206.63 / $206.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.90 / $2,858.21 / $5,952.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.15 / $779.00 / $779.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.03 / $551.91 / $835.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.38 / $648.45 / $11,642.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.56 / $537.86 / $3,959.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,407.00 / $12,224.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.56 / $487.56 / $683.49