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Minnesota 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
$603.03 / $603.03 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.42 / $603.03 / $949.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,742.73 / $5,939.08 / $11,966.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.71 / $1,712.07 / $2,234.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.68 / $2,086.67 / $5,019.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.56 / $1,757.95 / $2,610.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.98 / $1,907.72 / $3,952.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.13 / $1,571.72 / $2,394.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.33 / $1,150.71 / $3,293.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.85 / $1,172.95 / $2,371.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.85 / $1,144.33 / $2,270.96