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Washington, DC rates for HCPCS 28106

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.50 / $432.50 / $432.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.83 / $496.60 / $5,478.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.43 / $745.17 / $1,149.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.15 / $968.34 / $968.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.50 / $973.38 / $1,172.39