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Michigan 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
$765.33 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.98 / $662.02 / $794.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.33 / $3,825.49 / $5,182.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.14 / $962.09 / $1,443.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.41 / $731.55 / $1,272.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.37 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.95 / $685.66 / $991.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $397.60 / $696.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.63 / $740.99 / $995.16