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New York 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
$472.27 / $2,884.50 / $7,773.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.76 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.79 / $608.79 / $608.79
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.88 / $60.88 / $60.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $525.00 / $932.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.49 / $490.49 / $490.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.54 / $1,505.54 / $1,505.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $608.79
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.88 / $60.88 / $60.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.05 / $430.05 / $1,712.38