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Iowa 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
$4,146.00 / $5,091.00 / $7,120.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.29 / $1,118.88 / $2,653.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.41 / $1,873.56 / $4,873.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,698.68 / $2,020.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00