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North Carolina 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
$380.33 / $1,017.66 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.51 / $383.20 / $712.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.68 / $727.08 / $1,124.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $9,010.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.12 / $622.83 / $997.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.33 / $612.62 / $917.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.00 / $498.00 / $606.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $505.10 / $1,056.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.80 / $500.74 / $1,017.16
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.16 / $26,542.00 / $29,777.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,959.35 / $3,959.35 / $3,959.35