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Pennsylvania 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
$882.00 / $3,066.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.02 / $512.15 / $745.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.02 / $529.26 / $908.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.80 / $578.80 / $578.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.52 / $622.82 / $1,024.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.44 / $820.61 / $1,047.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.71 / $486.71 / $486.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.85 / $581.84 / $2,620.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.40 / $720.40 / $1,040.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.80 / $578.80 / $578.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.52 / $627.30 / $1,028.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.11 / $495.11 / $642.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.15 / $496.22 / $642.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.26 / $622.80 / $997.25