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New Jersey 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
$4,466.84 / $6,606.93 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $575.44 / $1,230.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $602.56
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,908.68 / $36,307.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $1,000.00