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Montana rates for HCPCS 28104

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.24 / $565.24 / $565.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.70 / $437.95 / $690.19