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Wisconsin rates for HCPCS 25652

Open Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.24 / $1,297.71 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.14 / $1,915.46 / $2,938.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.24 / $828.61 / $1,441.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.24 / $1,244.20 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.24 / $828.61 / $1,441.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.84 / $1,527.77 / $2,280.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,001.64 / $10,001.64 / $27,608.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00