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Wisconsin rates for HCPCS 25355

Osteotomy Radius Middle/Proximal Third

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.55 / $1,570.84 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.62 / $776.47 / $3,483.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $12,444.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.86 / $1,715.88 / $4,367.10
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
$1,984.27 / $2,318.77 / $3,557.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.76 / $3,041.37 / $3,456.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.55 / $1,115.33 / $1,643.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.55 / $1,518.42 / $13,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.41 / $1,639.71 / $6,283.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $446.18 / $1,482.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.55 / $1,076.81 / $1,643.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.20 / $1,859.62 / $2,776.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.93 / $3,643.80 / $6,283.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,455.88 / $2,455.88 / $2,455.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.95 / $3,770.24 / $4,840.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.67 / $1,513.81 / $3,337.72