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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
$436.52 / $602.56 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,122.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $2,041.74