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Minnesota 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 $2,692 · 10th–90th $603$9,5500%5%10th90th$2,692Professionalmedian $1,047 · 10th–90th $513$2,1380%5%10th90th$1,047$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
$446.68 / $1,778.28 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $6,309.57 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,258.93 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,187.76 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,548.82 / $2,511.89
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,089.30 / $4,168.69
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,445.44 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $933.25 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,230.27 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,011.87 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,047.13 / $1,995.26