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California rates for HCPCS 25116

Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,648.00 / $18,483.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,484.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,677.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $3,101.23 / $5,554.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.82 / $733.42 / $990.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.21 / $810.21 / $1,506.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.96 / $8,957.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.46 / $880.10 / $1,248.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00