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Wisconsin rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.87 / $1,735.94 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.87 / $1,335.95 / $8,896.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.86 / $1,675.00 / $5,053.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,902.09 / $9,902.09 / $9,902.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.23 / $2,564.13 / $3,933.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.20 / $3,363.72 / $3,822.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.87 / $1,234.31 / $1,818.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.87 / $1,658.79 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.51 / $1,668.78 / $6,285.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $503.39 / $1,603.51
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.87 / $1,191.36 / $1,818.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.40 / $2,056.03 / $3,069.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,243.77 / $10,243.77 / $28,277.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.73 / $4,030.15 / $6,285.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,719.39 / $2,719.39 / $2,719.39
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.32 / $4,172.81 / $5,353.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.39 / $1,623.28 / $3,667.44