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Vermont rates for HCPCS 28103

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $891.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,621.81