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Alaska rates for HCPCS 28122

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

Facilitymedian $1,202 · 10th–90th $525–$10,9650%5%10th90th$1,202Professionalmedian $794 · 10th–90th $447–$2,1880%10%10th90th$794$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $10,715.19 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $660.69 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $891.25 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $977.24 / $3,981.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,548.82 / $2,884.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,398.83 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $891.25 / $2,818.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $812.83 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,949.84 / $3,162.28