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Wisconsin rates for HCPCS 25170

Radical Resection Tumor Radius Or Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.40 / $2,961.85 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.95 / $1,464.42 / $6,691.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.02 / $3,247.85 / $8,293.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,727.03 / $4,355.33 / $6,681.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.97 / $5,738.87 / $6,521.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.38 / $1,646.66 / $3,015.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.55 / $2,830.22 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.38 / $2,828.14 / $10,766.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.60 / $883.05 / $2,810.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.38 / $1,646.66 / $3,015.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,891.85 / $3,523.61 / $5,260.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,132.00 / $17,132.00 / $17,132.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,684.97 / $6,999.90 / $10,766.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,663.81 / $4,663.81 / $4,663.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.82 / $7,183.73 / $9,133.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,660.81 / $9,158.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.63 / $2,799.96 / $6,411.91