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Indiana 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
$466.14 / $2,318.00 / $7,954.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.00 / $10,503.00 / $19,482.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.03 / $638.27 / $957.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00