go back

Wisconsin rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $5,011.87 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $602.56 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $707.95 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,445.44 / $1,659.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $707.95 / $5,495.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $724.44 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,230.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $4,786.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,621.81 / $2,570.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,905.46 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $1,380.38