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Michigan 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
$655.40 / $2,240.62 / $6,853.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.51 / $5,123.82 / $6,941.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.20 / $2,240.62 / $6,853.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00