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Oklahoma 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
$1,048.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.42 / $527.03 / $536.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,271.00 / $9,962.39 / $15,740.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.05 / $641.42 / $766.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.63 / $650.39 / $818.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.03 / $754.04 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.36 / $569.70 / $3,988.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.58 / $531.19 / $747.17