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Minnesota 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
$389.05 / $389.05 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,803.84 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $1,737.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $2,691.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $794.33 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $758.58 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $9,120.11 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $724.44 / $1,412.54