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Wisconsin rates for HCPCS 25295

Tnols Flxr/Xtnsr Tendon Forearm&/Wrist 1 Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.17 / $1,099.17 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
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
$1,392.23 / $1,626.93 / $2,495.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.17 / $724.50 / $1,221.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.17 / $1,050.32 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.17 / $724.50 / $1,221.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.15 / $1,291.75 / $1,928.33
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
$4,918.00 / $6,477.00 / $8,384.00