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Massachusetts 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
$1,924.00 / $2,747.00 / $5,039.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.42 / $2,826.85 / $9,039.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.46 / $1,669.16 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,436.96 / $4,436.96 / $4,701.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,997.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00