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Wisconsin rates for HCPCS 25020

Dcmprn Fasct F/Arm&Wrst Flxr/Xtnsr W/O Dbrdmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.67 / $1,514.20 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
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
$1,978.86 / $2,312.44 / $3,547.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.98 / $865.41 / $1,568.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.98 / $1,181.99 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.98 / $861.41 / $1,568.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.30 / $1,759.82 / $2,523.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.47 / $1,722.47 / $4,754.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,017.00 / $9,953.00 / $12,705.00