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Washington, DC 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
$552.17 / $3,575.00 / $4,601.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.98 / $1,223.69 / $1,223.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00