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Missouri 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
$721.87 / $4,470.00 / $10,043.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.96 / $965.32 / $8,660.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,566.31 / $5,200.00