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Tennessee 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
$893.00 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,753.00 / $5,878.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.92 / $8,957.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,934.00 / $4,611.00 / $8,086.00