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Michigan 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
$465.13 / $675.60 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.56 / $4,465.43 / $6,049.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.13 / $687.76 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00