go back

Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.06 / $512.64 / $800.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.43 / $640.00 / $934.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.67 / $687.21 / $1,087.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.53 / $787.17 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.86 / $698.48 / $3,988.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.42 / $648.33 / $1,085.58