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Florida 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 / $4,466.84 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $416.87 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,584.89 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $660.69 / $1,122.02
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $467.74 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $354.81 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,623.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $549.54 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $616.60