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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $775.84 / $1,223.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.43 / $911.16 / $1,131.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.72 / $1,223.18 / $1,480.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.45 / $1,078.31 / $1,406.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $843.40 / $1,061.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.14 / $1,223.69 / $1,406.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.15 / $896.47 / $1,275.75