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Alaska rates for HCPCS 28104

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.45 / $8,303.41 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.11 / $1,748.86 / $3,463.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.26 / $1,923.75 / $3,463.04