go back

Oregon 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
$977.24 / $1,698.24 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $912.01 / $1,584.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,318.26 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,445.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $10,232.93 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,000.00 / $14,125.38