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Washington, DC 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
$616.60 / $3,388.44 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $676.08 / $4,073.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $2,238.72 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $776.25 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,489.63 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $741.31 / $1,348.96