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Wisconsin rates for HCPCS 25101

Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $851.14 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $2,137.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $851.14 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $851.14 / $11,220.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,412.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25