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Wisconsin rates for HCPCS 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,148.15 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,122.02 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,819.70 / $2,754.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $831.76 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,096.48 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $691.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,479.11 / $2,089.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $4,786.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,754.23 / $4,265.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,862.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,548.13 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $2,290.87