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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.51 / $577.52 / $1,194.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.75 / $726.57 / $908.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.01 / $776.20 / $1,189.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.16 / $874.89 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.40 / $696.80 / $5,297.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,766.54 / $3,981.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.92 / $627.12 / $1,206.79