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Connecticut 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
$1,148.15 / $4,897.79 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,882.50 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $870.96 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,445.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,202.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,079.46 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $794.33 / $1,479.11