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New Hampshire 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
$100.00 / $2,303.05 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.42 / $610.97 / $783.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.05 / $998.05 / $1,531.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.92 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.89 / $1,240.06 / $1,791.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.80 / $1,125.11 / $2,116.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.93 / $1,044.01 / $1,802.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.77 / $521.15 / $663.28