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Idaho rates for HCPCS 25136

Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.93 / $688.55 / $1,016.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.21 / $749.78 / $870.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.67 / $921.94 / $1,220.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.53 / $898.40 / $1,170.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $702.52 / $883.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,138.70 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.65 / $1,018.41 / $1,170.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.83 / $743.60 / $1,058.20