go back

Washington 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
$942.05 / $6,431.54 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.46 / $9,172.83 / $20,286.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $3,740.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.00 / $1,090.64 / $3,280.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.04 / $954.08 / $1,031.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.14 / $703.32 / $2,961.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.27 / $9,167.59 / $17,546.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $3,492.00 / $11,941.00