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Wisconsin rates for HCPCS 25000

Incision Extensor Tendon Sheath Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.01 / $4,876.58 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $461.20 / $1,801.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.54 / $793.87 / $2,001.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.50 / $1,942.50 / $1,942.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.56 / $1,090.94 / $1,673.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.87 / $1,415.57 / $1,608.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.01 / $493.17 / $813.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.01 / $700.00 / $7,891.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.71 / $713.63 / $2,616.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $205.27 / $713.56
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.01 / $493.17 / $813.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.35 / $854.57 / $1,275.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.47 / $1,722.47 / $4,754.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.27 / $1,629.30 / $2,616.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.39 / $1,715.23 / $2,252.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.77 / $1,078.56 / $2,012.16