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Tennessee 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
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.03 / $607.89 / $976.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,291.00 / $3,470.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.10 / $785.16 / $1,268.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.07 / $845.82 / $1,299.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.96 / $4,754.80 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,203.50 / $5,361.75 / $5,538.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.41 / $718.56 / $1,304.93