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Maine 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
$420.42 / $535.33 / $628.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.17 / $686.12 / $982.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.87 / $764.35 / $1,095.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.38 / $742.08 / $1,138.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.42 / $581.84 / $628.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.82 / $684.14 / $1,023.00