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Tennessee 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
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.69 / $588.41 / $960.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.87 / $504.87 / $504.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.91 / $793.55 / $1,257.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.33 / $851.16 / $1,309.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.71 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,236.95 / $5,297.48 / $5,472.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,370.17 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.29 / $734.37 / $1,285.83