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Delaware 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
$1,122.02 / $1,513.56 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,047.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,801.89 / $11,481.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $954.99