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Wrist Tendon Sheath Lining Removal With Ulna Trim

New Jersey 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.

Facilitymedian $7,079 · 10th–90th $4,169$11,7490%10%20%10th90th$7,079Professionalmedian $537 · 10th–90th $437$3,0200%20%10th90th$537$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$6,918.31
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,621.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$851.14
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$16,595.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,079.46
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$1,258.93