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Texas 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
$893.00 / $3,682.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.83 / $4,324.00 / $8,294.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $555.16 / $560.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.98 / $695.98 / $695.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.96 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.84 / $838.22 / $1,306.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.84 / $847.85 / $1,349.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,239.00 / $7,600.00