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Wisconsin rates for HCPCS 25312

Tdn Trnsplj/Tr Flxr/Xtnsr F/Arm&/Wrst 1/Tdn Gr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.36 / $1,482.50 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $12,444.00
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
$1,872.53 / $2,188.19 / $3,356.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.36 / $1,008.00 / $1,550.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.36 / $1,436.59 / $13,120.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.36 / $1,008.00 / $1,550.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.20 / $1,748.74 / $2,610.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,957.00 / $8,957.00 / $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
$5,266.00 / $11,608.00 / $13,980.00