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Texas 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
$748.00 / $3,224.00 / $11,453.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.46 / $514.11 / $870.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.08 / $4,325.17 / $8,431.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.19 / $577.21 / $809.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $472.49 / $477.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.80 / $578.80 / $578.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.38 / $674.66 / $1,024.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.28 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,988.26 / $4,119.87 / $4,400.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.50 / $657.88 / $1,039.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.14 / $754.97 / $936.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.53 / $836.07 / $893.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.66 / $659.66 / $1,044.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.66 / $691.85 / $1,054.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.44 / $516.59 / $834.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.56 / $486.23 / $678.11