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Wisconsin rates for HCPCS 25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.34 / $3,065.18 / $17,823.00
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
$10,700.53 / $10,700.53 / $10,700.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.72 / $2,271.39 / $3,484.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.34 / $1,014.08 / $1,707.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.34 / $1,535.60 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.34 / $985.47 / $1,707.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.55 / $1,811.30 / $2,703.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,779.45 / $9,779.45 / $26,995.60
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,558.80 / $2,558.80 / $2,558.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00