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Louisiana 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
$738.00 / $1,850.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $742.25 / $1,040.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.54 / $5,175.18 / $7,440.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.44 / $785.93 / $1,079.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $558.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.25 / $844.09 / $1,153.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.85 / $715.51 / $1,258.19