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Nebraska 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
$620.53 / $6,843.00 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,712.35 / $6,198.03 / $11,988.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.76 / $873.91 / $2,345.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.29 / $1,529.82 / $2,842.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00