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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $701.35 / $1,025.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.44 / $758.71 / $873.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.90 / $969.55 / $1,179.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.46 / $905.96 / $1,180.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $708.54 / $799.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.02 / $1,027.08 / $1,180.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.32 / $738.85 / $1,066.40