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Virginia 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

Facilitymedian $3,467 · 10th–90th $676–$9,5500%5%10th90th$3,467Professionalmedian $813 · 10th–90th $550–$1,2880%10%20%10th90th$813$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $4,466.84 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $707.95 / $831.76
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,288.25 / $1,380.38
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $794.33 / $1,288.25
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $12,882.50