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Wisconsin rates for HCPCS 25425

Repair Defect W/Autograft Radius/Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.24 / $1,964.23 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.94 / $970.98 / $4,383.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.45 / $2,151.33 / $5,733.20
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
$2,480.78 / $2,898.99 / $4,447.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.74 / $3,806.47 / $4,325.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.24 / $1,305.14 / $2,060.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.24 / $1,931.93 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.71 / $2,098.34 / $8,630.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $583.76 / $1,857.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.24 / $1,303.09 / $2,060.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.65 / $2,329.27 / $3,477.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,446.88 / $11,446.88 / $31,598.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.87 / $4,584.85 / $8,630.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,085.16 / $3,085.16 / $3,085.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.70 / $4,737.85 / $6,057.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.02 / $1,942.66 / $4,165.14