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Wisconsin rates for HCPCS 25560

Closed Tx Radial&Ulnar Shaft Fractures W/O Man

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.87 / $571.09 / $2,373.12
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$195.65 / $420.14 / $840.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.87 / $293.33 / $1,246.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.73 / $521.73 / $1,511.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.80 / $939.30 / $1,440.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.19 / $901.60 / $1,379.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.87 / $357.52 / $628.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.63 / $399.00 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.13 / $647.03 / $2,236.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $182.56 / $593.82
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.87 / $351.44 / $628.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.60 / $731.81 / $1,049.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,270.16
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$875.28 / $875.28 / $875.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.28 / $1,277.69 / $2,236.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.89 / $1,719.18 / $1,931.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.13 / $575.74 / $1,242.33