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Wisconsin rates for HCPCS 25825

Arthrodesis Wrist Limited W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.60 / $2,925.54 / $14,482.00
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
$10,065.77 / $10,065.77 / $10,065.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.69 / $2,441.98 / $3,746.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.60 / $1,094.33 / $1,823.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.60 / $1,568.55 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.60 / $1,094.33 / $1,823.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.15 / $1,925.35 / $2,874.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,180.68 / $9,180.68 / $25,342.70
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,402.13 / $2,402.13 / $2,402.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00