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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
$1,023.29 / $3,715.35 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $4,570.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $691.83 / $691.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $33,884.42 / $33,884.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,912.51