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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $540.58 / $540.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.23 / $776.20 / $931.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.08 / $975.19 / $1,151.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.06 / $745.15 / $869.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.38 / $800.62 / $968.43
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.45 / $2,582.96 / $6,124.00