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Maryland 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
Professional
Modifier
Low / Median / High Price
$537.98 / $623.66 / $662.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.29 / $668.44 / $712.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $791.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.12 / $848.32 / $1,372.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.94 / $824.23 / $1,256.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.76 / $755.22 / $1,166.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.54 / $734.78 / $902.28