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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $616.60 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $851.14 / $1,348.96