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Kentucky 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 / $1,348.96 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $467.74 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $912.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $549.54 / $776.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $758.58 / $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
$537.03 / $831.76 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $1,047.13