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Massachusetts 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
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.02 / $516.35 / $807.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.25 / $4,402.00 / $9,401.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.86 / $942.95 / $4,119.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.87 / $881.65 / $1,431.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.29 / $1,117.76 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.15 / $714.86 / $983.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.34 / $1,263.46 / $1,666.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.28 / $5,268.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.22 / $977.52 / $4,119.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.22 / $902.50 / $1,708.55