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Kentucky 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
$504.40 / $1,924.00 / $9,128.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,967.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.64 / $787.47 / $908.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.98 / $695.98 / $1,006.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,396.50 / $6,295.00