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Oklahoma 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
$1,048.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $629.67 / $640.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,271.00 / $9,962.39 / $15,740.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.35 / $772.25 / $924.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.72 / $807.15 / $985.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.67 / $958.42 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.85 / $710.59 / $5,297.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $3,858.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.74 / $653.29 / $923.27