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Georgia 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
$1,247.07 / $5,045.00 / $8,331.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.14 / $2,706.44 / $5,240.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.35 / $1,604.46 / $2,182.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.22 / $868.22 / $1,200.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.86 / $1,285.84 / $1,888.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.00 / $4,826.00 / $7,889.00