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Wisconsin rates for HCPCS 25535

Closed Tx Ulnar Shaft Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.98 / $964.69 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.97 / $1,565.86 / $2,402.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.84 / $596.35 / $1,071.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.98 / $682.47 / $1,533.03
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.84 / $578.54 / $1,071.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.85 / $1,226.81 / $1,759.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $2,208.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90