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Vermont 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
$706.23 / $750.27 / $750.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.07 / $1,019.79 / $1,330.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.07 / $950.10 / $1,330.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.23 / $870.31 / $2,429.73