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Maine 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
$498.55 / $632.00 / $749.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.60 / $812.19 / $1,161.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.85 / $930.02 / $1,295.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.45 / $877.53 / $1,346.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.55 / $720.99 / $749.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.61 / $794.56 / $1,208.34