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Wisconsin rates for HCPCS 25107

Arthrotomy Dstl Radioulnar Joint Rpr Cartilage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.94 / $2,306.07 / $20,480.72
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
$1,635.53 / $1,911.25 / $2,931.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.94 / $857.64 / $1,299.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.94 / $1,225.21 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.94 / $851.12 / $1,299.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.70 / $1,519.06 / $2,267.65
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