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Montana 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
$575.54 / $635.70 / $3,117.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.53 / $958.53 / $958.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.22 / $958.53 / $1,001.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.25 / $653.47 / $958.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.17 / $958.53 / $1,244.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.61 / $992.37 / $1,234.98