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Illinois 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
$711.00 / $2,095.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.63 / $586.67 / $1,110.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,889.58 / $6,610.79 / $14,418.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.92 / $1,021.75 / $1,243.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.25 / $923.55 / $1,299.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.05 / $1,066.21 / $2,819.71
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.69 / $770.04 / $857.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $969.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $4,342.00 / $8,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.55 / $788.33 / $1,324.25