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Wisconsin rates for HCPCS 25315

Flexor Origin Slide Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.71 / $1,577.61 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.97 / $779.81 / $3,505.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.64 / $1,528.07 / $4,588.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,993.28 / $2,329.30 / $3,573.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.14 / $3,056.45 / $3,473.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.71 / $1,051.74 / $1,652.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.71 / $1,519.38 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.26 / $1,637.07 / $6,555.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $446.18 / $1,436.36
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.71 / $1,046.79 / $1,652.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.35 / $1,868.33 / $2,789.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.97 / $3,666.90 / $6,555.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.16 / $2,469.16 / $2,469.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.21 / $3,791.87 / $4,864.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.76 / $1,574.76 / $3,336.88