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Wisconsin rates for HCPCS 25290

Tnot Flxr/Xtnsr Tendon Forearm&/Wrist 1 Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.55 / $914.74 / $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
$1,157.94 / $1,353.14 / $2,075.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.55 / $602.77 / $951.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.55 / $866.93 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.55 / $588.00 / $951.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.75 / $1,073.16 / $1,602.02
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
$6,241.00 / $9,837.00 / $12,062.00