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Alaska rates for HCPCS 28120

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.46 / $11,709.00 / $20,191.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.98 / $2,449.60 / $4,472.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.60 / $2,694.56 / $4,472.20