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Ohio 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
$917.00 / $4,803.00 / $11,581.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $3,405.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.05 / $694.40 / $922.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.98 / $695.98 / $695.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.36 / $3,724.00 / $6,238.00