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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $540.58 / $604.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.57 / $1,732.57 / $1,732.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.84 / $684.35 / $1,096.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.94 / $662.73 / $1,365.22