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Alabama 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
$691.83 / $1,258.93 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $794.33 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
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
$407.38 / $660.69 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,951.21 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $977.24