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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
$1,288.25 / $3,890.45 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $6,025.60 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $5,754.40