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Louisiana 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
$758.58 / $2,041.74 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $446.68 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $9,772.37 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $630.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $8,511.38 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,456.54 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $741.31