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Wisconsin 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
$588.84 / $2,238.72 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $2,951.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,230.27 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,258.93 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $2,089.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $8,912.51 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11