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Wyoming 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
$1,778.28 / $8,912.51 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,754.23 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $2,089.30