go back

Michigan 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
$773.30 / $4,933.00 / $5,508.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.90 / $3,347.30 / $4,535.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.89 / $4,933.00 / $5,508.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,574.00 / $8,339.00