go back

Wisconsin rates for HCPCS 25111

Excision Ganglion Wrist Dorsal/Volar Primary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.55 / $5,037.32 / $8,813.86
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
$874.99 / $1,022.49 / $1,568.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.55 / $463.48 / $765.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.55 / $633.69 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.55 / $463.48 / $765.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.40 / $804.67 / $1,201.22
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