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Virginia 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
$1,318.21 / $5,360.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $776.00 / $868.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.76 / $940.49 / $1,110.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.00 / $1,007.02 / $1,519.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.07 / $1,013.22 / $3,294.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00