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Indiana 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
$557.15 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.55 / $557.85 / $765.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.00 / $5,948.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $856.40 / $1,181.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.03 / $764.27 / $1,146.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $682.39 / $982.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.45 / $1,123.45 / $1,331.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.86 / $901.10 / $1,416.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.97 / $672.29 / $1,210.40