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Louisiana 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
$736.47 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.34 / $763.71 / $1,032.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.62 / $3,116.18 / $6,755.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.73 / $780.25 / $1,071.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $554.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.07 / $838.50 / $1,144.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.33 / $697.76 / $1,229.84