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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.95 / $428.42 / $677.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.49 / $542.90 / $837.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.52 / $606.23 / $967.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.77 / $676.80 / $19,067.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.07 / $617.75 / $3,959.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.82 / $556.69 / $911.72