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Wisconsin rates for HCPCS 25260

Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,318.26 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,258.93 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $11,220.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25