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Maryland 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
$1.00 / $2,013.42 / $3,415.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $1,490.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.16 / $705.85 / $939.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $733.00 / $1,628.00