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Maryland 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
$2,802.26 / $2,802.26 / $2,802.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $791.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.05 / $1,043.67 / $1,386.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00