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Wisconsin rates for HCPCS 25110

Excision Lesion Tendon Sheath Forearm&/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.86 / $727.70 / $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
$1,942.50 / $1,942.50 / $1,942.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.45 / $1,081.46 / $1,658.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.86 / $459.23 / $808.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.86 / $678.38 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.86 / $459.23 / $808.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.05 / $852.98 / $1,273.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.47 / $1,722.47 / $4,754.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00