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New Hampshire 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
$100.00 / $2,286.69 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.99 / $596.53 / $777.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.17 / $1,020.61 / $1,521.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.46 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.74 / $1,216.49 / $1,780.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.35 / $1,117.82 / $2,102.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.66 / $1,021.48 / $3,833.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.27 / $517.29 / $658.38