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Wisconsin rates for HCPCS 25119

Synvct Xtnsr Tdn Shth Wrst 1 Rescj Dstl Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.50 / $1,045.33 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.05 / $516.35 / $2,276.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.76 / $1,138.84 / $3,018.52
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
$1,325.55 / $1,549.01 / $2,376.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.14 / $2,022.50 / $2,298.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.50 / $740.25 / $1,090.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.50 / $983.24 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.41 / $1,042.83 / $3,988.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $296.25 / $946.75
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.50 / $709.09 / $1,090.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.40 / $1,232.34 / $1,839.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.24 / $2,380.90 / $3,988.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.35 / $1,624.35 / $1,624.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.77 / $2,478.11 / $3,218.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.21 / $1,002.46 / $2,166.62