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Wisconsin rates for HCPCS 25575

Open Tx Radial&Ulnar Shaft Fx W/Fixj Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.42 / $3,313.86 / $11,372.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,504.84 / $10,504.84 / $10,504.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.12 / $2,746.30 / $4,212.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.42 / $1,249.72 / $2,066.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.42 / $1,810.06 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.42 / $1,249.72 / $2,066.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.10 / $2,197.01 / $3,279.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,669.90 / $9,669.90 / $26,693.15
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,530.14 / $2,530.14 / $2,530.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00