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Wisconsin rates for HCPCS 25150

Partial Excision Bone Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.04 / $1,179.38 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
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
$1,489.55 / $1,740.66 / $2,670.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.04 / $786.26 / $1,217.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.04 / $1,126.97 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.04 / $779.86 / $1,217.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.75 / $1,389.96 / $2,074.94
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
$4,240.00 / $9,158.00 / $12,062.00