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Michigan 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
$770.49 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $651.46 / $800.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,157.49 / $3,705.97 / $5,021.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.78 / $662.88 / $1,563.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.52 / $737.93 / $1,281.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.46 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.90 / $685.80 / $999.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $397.60 / $696.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $6,978.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.07 / $751.41 / $1,095.13