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Texas rates for HCPCS 25118

Synovectomy, extensor tendon sheath, wrist, single compartment;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,759.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.28 / $2,222.84 / $4,503.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.88 / $1,843.37 / $1,843.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.77 / $443.77 / $443.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.48 / $11,500.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.59 / $499.92 / $834.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.99 / $500.76 / $855.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00