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Wisconsin rates for HCPCS 25145

Sequestrectomy Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.49 / $1,083.09 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.44 / $535.63 / $2,367.10
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
$494.04 / $1,031.41 / $3,130.56
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
$1,374.21 / $1,605.87 / $2,463.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.47 / $2,097.27 / $2,383.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.49 / $767.24 / $1,130.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.49 / $1,071.08 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.98 / $1,136.60 / $4,922.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $316.93 / $1,015.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.49 / $767.24 / $1,130.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.09 / $1,278.29 / $1,908.23
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
$981.22 / $2,476.05 / $4,922.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.62 / $1,684.62 / $1,684.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.07 / $2,578.85 / $3,337.66
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
$566.90 / $1,084.51 / $2,253.21