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Minnesota 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
$611.77 / $611.77 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,765.18 / $5,939.08 / $11,966.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.25 / $2,120.12 / $5,100.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.41 / $1,938.30 / $4,015.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.32 / $1,143.04 / $3,312.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00