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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
$1,318.26 / $5,370.32 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,570.40 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,202.26 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $6,918.31