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Wyoming 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
$2,030.28 / $3,910.62 / $3,910.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00