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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
$1,949.84 / $3,388.44 / $5,370.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,235.94 / $33,884.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,548.82 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,677.35 / $4,677.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $9,120.11