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Wisconsin rates for HCPCS 25565

Closed Tx Radial&Ulnar Shaft Fractures W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.80 / $596.32 / $3,119.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.22 / $388.91 / $1,467.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $3,483.00 / $5,962.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.50 / $1,942.50 / $1,942.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.54 / $1,634.30 / $2,507.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.12 / $659.74 / $1,099.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.27 / $746.53 / $1,756.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.12 / $653.34 / $1,099.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.27 / $1,287.79 / $1,846.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.47 / $1,722.47 / $2,238.16
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,534.41 / $1,534.41 / $1,534.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90