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Indiana 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
$758.58 / $4,897.79 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $8,317.64 / $10,964.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $776.25 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $6,025.60 / $10,715.19