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Pennsylvania rates for HCPCS 25120

Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.59 / $2,791.00 / $7,629.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.05 / $578.05 / $578.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.74 / $6,997.76 / $14,403.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,838.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.05 / $578.05 / $578.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.68 / $494.68 / $763.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.00 / $3,311.00 / $6,000.00