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Wisconsin rates for HCPCS 25110

Excision, lesion of tendon sheath, forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $724.44 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,071.52 / $1,737.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $691.83 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $724.44 / $8,128.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,230.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,413.10 / $9,120.11