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California 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
$3,715.35 / $9,120.11 / $19,952.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,471.29 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,630.27 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $831.76 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,585.78 / $15,135.61