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Vermont 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
Professional
Modifier
Low / Median / High Price
$540.58 / $711.26 / $753.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.18 / $1,026.96 / $1,340.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.88 / $971.45 / $1,340.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.82 / $924.31 / $2,447.67