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Oklahoma 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
$1,346.00 / $4,195.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,064.77 / $6,457.50 / $10,202.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.42 / $1,351.42 / $1,351.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.34 / $1,080.98 / $5,558.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93