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North Carolina rates for HCPCS 28124

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.94 / $2,483.53 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.93 / $451.50 / $813.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.95 / $698.95 / $698.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.68 / $397.68 / $403.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.47 / $655.26 / $1,121.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.75 / $490.75 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.29 / $565.71 / $1,021.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.07 / $557.22 / $922.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.74 / $601.00 / $614.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $627.90 / $1,280.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.10 / $558.21 / $1,280.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,728.29 / $1,728.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,494.56 / $3,463.20 / $3,985.28