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Indiana 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
$471.05 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.42 / $471.05 / $645.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $6,474.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.59 / $695.50 / $959.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.63 / $646.48 / $969.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.77 / $577.21 / $831.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.21 / $690.69 / $1,089.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.94 / $554.92 / $954.08