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Wisconsin rates for HCPCS 25391

Osteoplasty, radius OR ulna; lengthening with autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,041.74 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,982.44 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,995.26 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $3,981.07 / $4,570.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,949.84 / $6,456.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,344.23 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,041.74 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,862.09 / $7,585.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $36,307.81 / $53,703.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $4,786.30 / $7,762.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $5,495.41 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $4,073.80