go back

Colorado 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
$532.52 / $3,189.00 / $9,872.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,261.85 / $2,261.85 / $7,124.94
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.97 / $559.16 / $800.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.93 / $646.20 / $949.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$9.76 / $9.76 / $14.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $6,118.00 / $11,599.00