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Minnesota 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
$508.04 / $508.04 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.50 / $516.78 / $797.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.86 / $5,939.08 / $11,503.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.67 / $1,436.98 / $1,875.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.33 / $1,757.01 / $4,226.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.27 / $1,481.90 / $2,200.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.76 / $1,606.33 / $3,328.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.24 / $1,324.92 / $2,018.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.25 / $870.25 / $3,293.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.97 / $977.80 / $1,983.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.29 / $1,072.70 / $1,933.10