go back

Colorado 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
$602.56 / $3,311.31 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,549.93 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,238.72 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $1,819.70
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $1,230.27