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Kansas 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
$758.58 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $389.05 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,715.35 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $831.76 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,570.40 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $933.25