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New Jersey 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
$741.31 / $6,309.57 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,023.29
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $691.83 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,606.93 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $1,380.38