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Maryland 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
$5,248.07 / $5,248.07 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $537.03 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $602.56 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,000.00 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $912.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $630.96 / $794.33