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Wisconsin rates for HCPCS 25125

Exc/Curtg Cyst/Tumor Radius/Ulna W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.76 / $1,234.04 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.15 / $610.12 / $2,705.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $8,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.91 / $1,344.84 / $3,415.61
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
$1,562.54 / $1,825.95 / $2,801.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.92 / $2,388.73 / $2,714.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.76 / $874.14 / $1,371.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.76 / $1,219.10 / $7,891.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.39 / $1,273.39 / $5,361.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $358.17 / $1,135.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.76 / $874.14 / $1,371.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.00 / $1,457.28 / $2,175.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.47 / $1,722.47 / $4,754.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.58 / $2,829.75 / $5,361.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.82 / $1,920.82 / $1,920.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.16 / $2,943.94 / $3,801.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.54 / $1,213.66 / $2,583.56