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Maryland 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
$1.00 / $1,584.89 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $2,511.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $1,122.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $933.25