go back

Washington 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
$942.30 / $5,128.00 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.05 / $648.67 / $1,587.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.46 / $9,172.83 / $20,286.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.89 / $1,181.09 / $4,485.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $3,740.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.66 / $918.78 / $1,561.56
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.57 / $1,093.55 / $3,280.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.60 / $1,036.75 / $2,824.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $299.93 / $998.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.03 / $946.85 / $1,032.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.41 / $704.24 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.39 / $1,120.31 / $1,397.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.27 / $9,167.59 / $17,546.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.92 / $1,002.39 / $1,342.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.17 / $800.24 / $1,472.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.56 / $429.56 / $563.41