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Indiana 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
$566.74 / $3,396.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $7,833.00 / $14,645.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.28 / $780.00 / $1,170.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,719.19 / $5,174.00 / $9,243.00