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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.94 / $624.09 / $891.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,803.93 / $6,803.93 / $6,823.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.00 / $652.71 / $781.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.81 / $878.70 / $1,069.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.70 / $754.58 / $1,016.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $610.67 / $768.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,259.78 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.98 / $856.45 / $1,016.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.35 / $641.69 / $913.17