go back

Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.68 / $488.13 / $2,620.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.32 / $610.65 / $763.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.12 / $605.92 / $970.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.78 / $657.53 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.56 / $544.38 / $3,988.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.32 / $500.15 / $970.37