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Wyoming 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
$391.14 / $391.60 / $491.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.00 / $6,116.00 / $6,116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.00 / $895.00 / $1,355.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.90 / $782.28 / $1,088.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.54 / $784.56 / $1,471.59