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Rhode Island 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
$1,862.09 / $2,398.83 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $691.83 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $691.83 / $1,148.15