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Tennessee 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
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.66 / $510.08 / $811.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.23 / $650.85 / $1,031.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.66 / $698.57 / $1,029.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.28 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,988.26 / $4,119.87 / $4,400.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.48 / $611.92 / $1,041.23