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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $389.05 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,762.47 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $851.14