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Wisconsin rates for HCPCS 28104

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

Facilitymedian $6,761 · 10th–90th $724–$11,4820%10%10th90th$6,761Professionalmedian $1,122 · 10th–90th $661–$1,7780%10%10th90th$1,122$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $4,466.84 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,659.59 / $2,754.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $707.95 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $741.31 / $7,943.28
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,122.02 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $6,025.60 / $8,912.51
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$602.56 / $602.56 / $891.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,585.78 / $9,120.11