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Arizona 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 $3,548 · 10th–90th $871–$7,4130%5%10%10th90th$3,548Professionalmedian $661 · 10th–90th $427–$2,0890%10%10th90th$661$50.0$200.0$1.0K$5.0K$20.0K

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
$1,737.80 / $3,890.45 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $660.69 / $2,137.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $2,818.38 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $724.44 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $645.65 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $660.69 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $794.33 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,884.03 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $575.44 / $954.99