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Massachusetts 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
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $1,047.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $7,413.10 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $630.96 / $1,096.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $794.33 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $707.95
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $691.83 / $1,122.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $7,413.10 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $1,122.02