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Maryland rates for HCPCS 28103

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $1,148.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $416.87 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,000.00 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $794.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $575.44