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Texas 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
$707.95 / $2,818.38 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,168.69 / $8,128.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $331.13 / $331.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$891.25 / $891.25 / $891.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $602.56 / $2,511.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $562.34 / $933.25
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,912.51