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Wisconsin rates for HCPCS 25259

Manipulation, wrist, under anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $891.25 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $2,187.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $851.14 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $912.01 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,584.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,456.54