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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
$977.24 / $2,884.03 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,897.79 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $1,288.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $2,951.21
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
$724.44 / $776.25 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,288.25