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New York 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
$802.10 / $5,324.00 / $11,690.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.92 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.98 / $695.98 / $695.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $870.00 / $1,632.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.91 / $576.91 / $576.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.87 / $1,958.87 / $2,858.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $695.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.04 / $734.04 / $3,715.91