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New York 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
$1,026.27 / $5,700.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.09 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.22 / $868.22 / $868.22
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,045.00 / $2,037.08
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.84 / $719.84 / $719.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $868.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.83 / $914.83 / $4,212.00