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Michigan 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 $4,074 · 10th–90th $589–$8,1280%20%10th90th$4,074Professionalmedian $661 · 10th–90th $427–$1,1750%20%10th90th$661$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$588.84 / $4,073.80 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $616.60 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $954.99 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $602.56 / $1,023.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $4,073.80 / $8,128.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $707.95 / $1,230.27
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $588.84 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,786.30 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $616.60 / $891.25