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Rhode Island 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
$2,090.73 / $3,706.14 / $5,222.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00