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Vermont rates for HCPCS 25119

Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.49 / $605.50 / $605.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.35 / $1,001.19 / $1,820.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.04 / $859.71 / $1,117.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.29 / $738.48 / $1,117.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.70 / $739.24 / $2,040.24