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Wisconsin rates for HCPCS 25085

Capsulotomy Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.19 / $938.66 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.64 / $458.02 / $2,054.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.01 / $1,020.43 / $2,704.60
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
$1,190.38 / $1,391.05 / $2,133.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.06 / $1,815.73 / $2,063.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.19 / $663.29 / $973.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.19 / $893.44 / $8,296.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.10 / $941.50 / $4,139.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.81 / $273.93 / $878.83
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.19 / $638.79 / $973.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.15 / $1,101.67 / $1,644.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.51 / $2,149.55 / $4,139.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.42 / $1,455.42 / $1,455.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.45 / $2,233.14 / $2,889.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.97 / $882.15 / $1,956.09