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Hawaii rates for HCPCS 28107

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $724.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $691.83 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $537.03 / $776.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $2,570.40 / $6,165.95