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Oklahoma 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
$1,000.00 / $3,021.00 / $6,435.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,726.17 / $7,392.01 / $11,593.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.16 / $576.51 / $4,596.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.01 / $165.01 / $165.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,875.93 / $5,543.93