go back

Maine 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
$632.47 / $648.52 / $1,061.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $693.57 / $8,641.26