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Nevada 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
$562.34 / $2,630.27 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $2,344.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $416.87 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,025.60 / $7,762.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,047.13
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $676.08 / $1,445.44
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $2,570.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,344.23 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $954.99