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Idaho 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
$575.44 / $4,786.30 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,548.13 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $724.44 / $1,318.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,244.36 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69