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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.66 / $868.94 / $1,214.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.46 / $904.69 / $1,123.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.91 / $1,214.82 / $1,469.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.05 / $1,071.32 / $1,397.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $837.84 / $1,054.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.28 / $3,916.24 / $6,112.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.42 / $1,215.03 / $1,397.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.16 / $889.83 / $1,266.13