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Arkansas 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
$660.69 / $1,230.27 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $616.60 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $724.44 / $1,000.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,000.00