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Illinois 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
$716.10 / $2,543.00 / $10,750.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.08 / $5,772.10 / $11,552.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $3,072.73 / $3,430.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.24 / $960.12 / $2,094.44
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00