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Maryland rates for HCPCS 25119

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.55 / $516.64 / $931.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.46 / $551.89 / $735.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.05 / $683.12 / $1,161.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.41 / $697.13 / $953.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.48 / $602.16 / $1,149.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.60 / $621.47 / $763.19