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Washington 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
$863.23 / $1,812.22 / $20,053.09
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.80 / $9,172.83 / $20,286.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.89 / $1,698.13 / $3,740.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.67 / $1,096.91 / $2,806.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.23 / $1,303.82 / $1,350.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.74 / $920.86 / $2,961.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,948.17 / $9,167.59 / $17,546.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,408.00 / $10,522.00