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Illinois rates for HCPCS 28104

Exc/Curtg Bone Cyst/B9 Tumortarsal/Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.45 / $1,305.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.57 / $4,633.68 / $8,148.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $3,072.73 / $3,430.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.18 / $758.39 / $2,009.56
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00