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Maine 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
Professional
Modifier
Low / Median / High Price
$540.58 / $623.92 / $755.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.19 / $818.13 / $1,168.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.83 / $936.08 / $1,304.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.39 / $883.24 / $1,354.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.94 / $623.92 / $755.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.84 / $808.61 / $1,354.94