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Ohio 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
$700.26 / $6,417.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.00 / $3,683.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.08 / $563.52 / $748.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.64 / $843.64 / $1,865.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,223.00 / $6,522.00