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Washington 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
$1,445.44 / $7,943.28 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $933.25 / $1,995.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,258.93 / $2,290.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $1,548.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,047.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,570.88 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,623.41 / $10,964.78