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Kentucky 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
$407.38 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $891.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $489.78 / $630.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,011.87 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $831.76