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Wisconsin rates for HCPCS 25350

Osteotomy Radius Distal Third

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.14 / $1,396.69 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
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
$1,766.20 / $2,063.94 / $3,166.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.14 / $955.14 / $1,551.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.14 / $1,378.13 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.14 / $955.14 / $1,551.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.75 / $1,643.40 / $2,453.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,975.50 / $9,975.50 / $27,536.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00