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Montana 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
$536.41 / $709.09 / $2,620.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.72 / $688.72 / $688.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.26 / $810.26 / $810.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.20 / $810.26 / $832.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.93 / $552.65 / $810.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.90 / $809.88 / $1,051.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.04 / $800.24 / $1,228.94