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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.85 / $462.85 / $2,620.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.68 / $764.79 / $1,019.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.00 / $1,118.00 / $1,471.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.85 / $809.99 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.62 / $1,009.68 / $1,374.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.01 / $1,247.50 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.24 / $1,125.16 / $1,471.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.62 / $998.29 / $1,300.09