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West 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
$737.52 / $1,159.39 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.36 / $897.86 / $978.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.22 / $868.22 / $868.22