go back

Wrist Tendon Sheath Lining Removal With Ulna Trim

New Hampshire rates for HCPCS 25119

Removes the inflamed lining of one tendon sheath compartment at the wrist. The end of the ulna, the forearm bone on the little-finger side, is removed as part of the same service. One compartment is treated.

Rates data updated July 2026.

How much does Wrist Tendon Sheath Lining Removal With Ulna Trim cost?

$4,685

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,685 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $3,890 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$575 to $1,023
Facility feeThe hospital or surgery center$3,890$1,778 to $6,310

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,778 to $11,482Professionalmedian $794 · 10th to 90th $501 to $1,259
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,890professional $794

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$2,398.83
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,000.00
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$1,548.82
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,513.56
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$616.60

Where New Hampshire sits

The same service costs 9.0 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew Hampshire $4,685 · 23rd of 50
IN $10,525MD $1,170

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.