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New York 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
$602.40 / $5,118.03 / $13,420.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.35 / $3,478.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.64 / $843.64 / $843.64
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $530.82 / $1,294.04
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.37 / $622.37 / $622.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,175.78 / $6,104.00 / $9,774.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $843.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.54 / $599.54 / $1,857.16