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Wisconsin rates for HCPCS 25370

Mlt Osteotomies W/Relignmt Imed Rod Radius/Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.67 / $2,067.44 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.59 / $1,022.31 / $4,592.29
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
$961.17 / $2,263.09 / $5,763.59
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
$2,612.35 / $3,052.73 / $4,682.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.46 / $4,005.46 / $4,551.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.67 / $1,280.68 / $2,167.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.67 / $1,975.55 / $13,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.02 / $2,104.00 / $7,486.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $610.07 / $1,930.66
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.67 / $1,273.15 / $2,167.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.10 / $2,450.44 / $3,658.04
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
$1,873.98 / $4,803.64 / $7,486.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,241.21 / $3,241.21 / $3,241.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.32 / $4,971.75 / $6,374.48
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
$1,096.48 / $2,017.29 / $4,371.32