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Alaska rates for HCPCS 25125

Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.71 / $2,888.73 / $2,888.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.19 / $1,927.98 / $2,581.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.74 / $2,888.73 / $4,044.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.95 / $1,785.54 / $3,624.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.50 / $2,912.00 / $3,646.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.74 / $2,888.73 / $4,044.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.69 / $2,908.70 / $3,751.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.38 / $3,084.76 / $3,393.24