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West Virginia 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
$769.47 / $8,840.70 / $8,840.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.55 / $555.52 / $1,084.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.55 / $595.91 / $649.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.93 / $577.10 / $577.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.80 / $578.80 / $578.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.52 / $748.79 / $1,400.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.49 / $602.44 / $887.81