go back

Pennsylvania rates for HCPCS 28103

Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,066.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.74 / $385.68 / $622.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.08 / $421.23 / $716.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.04 / $443.04 / $443.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.90 / $498.01 / $799.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.35 / $595.87 / $781.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,025.33 / $12,025.33 / $12,025.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.14 / $442.05 / $1,820.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.50 / $754.10 / $975.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.04 / $443.04 / $443.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.90 / $498.07 / $821.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.59 / $378.59 / $571.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.31 / $378.59 / $522.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.06 / $498.97 / $778.67