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Alaska rates for HCPCS 25126

Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $1,715.14 / $2,908.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.60 / $1,942.68 / $2,598.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.50 / $2,908.95 / $4,072.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.65 / $1,797.18 / $3,648.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.75 / $2,965.28 / $3,672.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.50 / $2,908.95 / $4,072.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.08 / $2,930.80 / $3,777.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.14 / $3,108.28 / $3,419.11