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Texas 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
$923.00 / $3,682.00 / $12,480.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.44 / $2,199.51 / $4,699.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $684.82 / $693.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.22 / $868.22 / $868.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,863.96 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.67 / $1,028.11 / $1,573.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.83 / $1,034.71 / $1,662.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00