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West Virginia 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
$584.09 / $913.92 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.76 / $631.78 / $881.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.07 / $707.76 / $771.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.69 / $685.44 / $685.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.46 / $684.46 / $684.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.07 / $903.80 / $1,690.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.76 / $913.92 / $1,262.75