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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

Facilitymedian $3,090 · 10th–90th $724–$8,5110%5%10%10th90th$3,090Professionalmedian $603 · 10th–90th $407–$1,0720%10%10th90th$603$50.0$200.0$1.0K$5.0K$20.0K

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
$616.60 / $1,348.96 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $389.05 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $912.01
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $776.25
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $549.54 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $758.58 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $776.25 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $3,388.44 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $645.65 / $1,047.13