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Nationwide rates for HCPCS 28122

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $3,630.78 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $7,079.46 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,584.89 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $758.58 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,265.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $1,148.15