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Tennessee 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
$840.60 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.39 / $436.13 / $699.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.76 / $594.73 / $951.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.66 / $626.54 / $917.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.60 / $26,542.00 / $32,146.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,959.35 / $3,959.35 / $3,959.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.45 / $534.50 / $925.48