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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.92 / $546.92 / $3,117.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.37 / $904.02 / $1,205.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.44 / $1,257.44 / $1,257.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.21 / $1,339.16 / $1,748.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.92 / $977.38 / $4,217.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.67 / $1,204.29 / $1,632.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,349.65 / $1,748.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.25 / $1,337.19 / $1,748.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.67 / $1,204.29 / $1,545.74