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Minnesota 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 / $758.58 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,623.41 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $6,606.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,630.27 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,479.11 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,168.69 / $8,912.51