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Wisconsin rates for HCPCS 25671

Prq Skeletal Fixj Distal Radioulnar Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.41 / $1,118.10 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.26 / $1,658.52 / $2,544.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.00 / $671.94 / $1,118.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.41 / $1,050.90 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.00 / $659.38 / $1,118.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.30 / $1,316.30 / $1,964.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00