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Wisconsin rates for HCPCS 25118

Synovectomy Extensor Tendon Shth Wrist 1 Cmprt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.28 / $1,438.67 / $15,660.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $8,456.00
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
$1,024.57 / $1,197.30 / $1,836.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.28 / $568.91 / $955.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.28 / $800.72 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.28 / $568.91 / $955.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.45 / $944.86 / $1,410.48
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