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West Virginia 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
$493.14 / $5,648.60 / $5,648.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.67 / $417.56 / $454.95
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,880.08 / $13,880.08 / $13,880.08