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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.24 / $611.01 / $932.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.72 / $803.35 / $1,200.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.58 / $830.91 / $1,296.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.72 / $975.42 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.32 / $903.58 / $5,297.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.00 / $2,661.06 / $5,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.83 / $764.23 / $1,239.42