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Wisconsin rates for HCPCS 25526

Open Rdl Shaft Fx Open Rad/Uln Jt Dislocate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.68 / $1,959.57 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.29 / $981.90 / $4,346.31
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
$910.20 / $2,140.80 / $5,692.48
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
$2,476.28 / $2,893.73 / $4,439.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.73 / $3,795.06 / $4,312.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.68 / $1,274.28 / $2,050.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.68 / $1,917.83 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.68 / $1,962.32 / $7,090.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $573.38 / $1,812.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.68 / $1,260.71 / $2,050.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.85 / $2,319.77 / $3,462.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,826.14 / $9,826.14 / $27,124.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.54 / $4,546.35 / $7,090.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,063.27 / $3,063.27 / $3,063.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,755.25 / $4,700.59 / $6,039.60
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
$1,020.20 / $1,854.91 / $4,137.18