go back

Alaska rates for HCPCS 25115

Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,774.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.56 / $3,683.78 / $5,157.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.56 / $3,683.78 / $5,157.29