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Mississippi 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
$398.11 / $1,513.56 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $562.34 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $416.87 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,621.81 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,344.23 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,258.93