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Virginia 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
$1,051.24 / $5,087.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $635.89 / $924.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.25 / $721.55 / $1,192.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.46 / $705.74 / $5,113.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $688.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.83 / $869.05 / $1,309.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.28 / $746.96 / $882.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.89 / $824.39 / $1,229.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.00 / $858.00 / $1,162.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.10 / $816.48 / $2,602.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.10 / $816.48 / $2,602.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.39 / $821.94 / $1,202.79