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Arizona 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
$701.46 / $2,752.00 / $6,323.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.10 / $523.91 / $3,311.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.01 / $165.01 / $165.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.00 / $3,339.00 / $5,838.00