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Montana 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
$2,172.67 / $2,172.67 / $2,172.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.48 / $603.10 / $2,281.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.65 / $675.65 / $675.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.65 / $675.65 / $717.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.03 / $460.67 / $708.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.70 / $674.54 / $910.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.58 / $715.73 / $880.44