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Alaska rates for HCPCS 25119

Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.99 / $2,431.59 / $2,431.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.19 / $1,610.53 / $2,183.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.15 / $2,431.59 / $3,404.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.28 / $1,509.93 / $3,065.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.25 / $2,457.88 / $3,082.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.15 / $2,431.59 / $3,404.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.35 / $2,429.30 / $3,157.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.74 / $1,943.72 / $2,834.52