EXCISE WRIST TENDON SHEATH at Bertrand Chaffee Hospital

SPRINGVILLE, NY

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Pricing by billing methodology

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Payers reporting CPT 25118-AA at Bertrand Chaffee Hospital

Negotiated rates from the hospital’s own file: 8 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna aetna medicare fee schedule · both	$35	$35	—	—	—	$35 – $35
2	Cigna cigna fee schedule · both	$35	$35	—	—	—	$35 – $35
3	Humana humana gold fee schedule · both	$35	$35	—	—	—	$35 – $35
4	Optum va optum community care fee schedule · both	$35	$35	—	—	—	$35 – $35
5	Tricare wps tricare for life fee schedule · both	$35	$35	—	—	—	$35 – $35
6	UnitedHealthcare aarp/united healthcare fee schedule · both	$35	$35	—	—	—	$35 – $35
7	WellCare wellcare fee schedule · both	$35	$35	—	—	—	$35 – $35
8	Medicare medicare fee schedule · both	$368	$368	—	—	—	$368 – $368
9	Tricare tricare east reg fee schedule · both	$368	$368	—	—	—	$368 – $368
10	Tricare tricare north region 1 fee schedule · both	$368	$368	—	—	—	$368 – $368

Last updated: Oct 1, 2026

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