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Wisconsin rates for HCPCS 25301

Tenodesis Wrist Extensors Fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.80 / $1,334.00 / $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
$1,689.60 / $1,974.43 / $3,028.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.80 / $889.34 / $1,376.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.80 / $1,274.71 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.80 / $883.13 / $1,376.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.30 / $1,569.74 / $2,343.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$849.00 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00