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Arkansas 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
$603.47 / $1,710.00 / $9,477.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.26 / $2,204.26 / $2,204.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00