go back

Wisconsin rates for HCPCS 25109

Excision of tendon, forearm and/or wrist, flexor or extensor, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.60 / $1,119.59 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
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
$1,414.76 / $1,653.26 / $2,536.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.60 / $680.03 / $1,166.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.60 / $1,106.71 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.60 / $680.03 / $1,166.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.00 / $1,314.72 / $1,962.62
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
$4,918.00 / $6,477.00 / $8,384.00