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Idaho rates for HCPCS 28122

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus

Facilitymedian $2,089 · 10th–90th $631$6,1660%10%20%10th90th$2,089Professionalmedian $813 · 10th–90th $457$1,3490%10%10th90th$813$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $5,128.61 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $758.58 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,388.44 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $933.25 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $691.83 / $1,023.29
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $851.14 / $1,479.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,244.36 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $933.25 / $1,230.27
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $812.83 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $6,760.83 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $724.44 / $1,148.15