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Wisconsin rates for HCPCS 25415

Rpr Nonunion/Malunion Radius&Ulna W/O Autograf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.51 / $1,973.09 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.05 / $994.67 / $3,726.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.96 / $2,161.19 / $5,757.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,331.19 / $10,331.19 / $10,331.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.60 / $2,911.63 / $4,466.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.71 / $3,823.74 / $4,345.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.51 / $1,400.00 / $2,069.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.51 / $1,885.40 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.93 / $2,040.95 / $7,513.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $588.03 / $1,857.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.51 / $1,357.87 / $2,069.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.10 / $2,339.57 / $3,492.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,143.35 / $9,143.35 / $25,239.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.97 / $4,606.70 / $7,513.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,098.36 / $3,098.36 / $3,098.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.87 / $4,759.97 / $6,085.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.85 / $1,951.32 / $4,192.10