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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.63 / $550.63 / $2,908.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.00 / $910.25 / $1,213.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.83 / $1,347.89 / $1,762.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.63 / $963.60 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.92 / $1,213.00 / $1,644.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,485.90 / $3,347.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.01 / $1,347.66 / $1,762.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.66 / $6,178.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.92 / $1,195.58 / $1,466.97