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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.33 / $660.26 / $660.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.36 / $771.29 / $925.55
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.08 / $986.55 / $8,430.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.73 / $740.44 / $863.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.37 / $794.95 / $961.46
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.75 / $2,582.96 / $6,124.00