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Wisconsin rates for HCPCS 25076

Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.83 / $1,076.96 / $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
$1,507.48 / $1,507.48 / $1,507.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.59 / $1,591.13 / $2,440.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.97 / $682.50 / $1,196.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.97 / $1,033.84 / $5,261.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.97 / $682.50 / $1,196.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.65 / $1,267.99 / $1,892.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.33 / $1,455.33 / $4,017.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,155.00 / $5,865.00