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Wisconsin rates for HCPCS 25023

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.43 / $2,669.63 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.67 / $4,018.36 / $6,164.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.97 / $1,501.61 / $2,720.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.50 / $2,206.44 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.97 / $1,485.05 / $2,720.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.50 / $3,128.40 / $4,485.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00