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Wisconsin rates for HCPCS 25116

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Xtnsrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.41 / $1,262.57 / $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
$1,599.49 / $1,869.13 / $2,867.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.41 / $891.62 / $1,313.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.41 / $1,206.45 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.41 / $856.13 / $1,313.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.15 / $1,481.83 / $2,212.08
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
$4,103.00 / $6,477.00 / $8,384.00