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Maine 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
$0.74 / $2,951.21 / $11,748.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $1,698.24 / $11,748.98