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California rates for HCPCS 28104

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

Facilitymedian $5,888 · 10th–90th $1,202$13,8040%5%10th90th$5,888Professionalmedian $575 · 10th–90th $347$1,0230%10%10th90th$575$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $6,456.54 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $4,786.30 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $446.68 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $575.44 / $1,047.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $575.44 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $7,244.36 / $15,135.61