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Mississippi 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
$630.96 / $1,513.56 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $6,025.60 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $5,754.40 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $1,000.00