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Wyoming 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
$512.74 / $516.78 / $648.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.00 / $1,181.00 / $1,787.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.91 / $1,016.87 / $1,431.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.70 / $995.34 / $1,695.19