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Wisconsin rates for HCPCS 25830

Arthrd Dstl Rad/Uln Jt Sgmtl Rscj Ulna W/Wo Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.08 / $2,103.44 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.92 / $1,024.58 / $4,488.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.87 / $2,298.85 / $6,011.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,294.20 / $10,294.20 / $10,294.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.37 / $3,169.62 / $4,862.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.72 / $4,118.53 / $4,680.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.08 / $1,343.92 / $2,122.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.08 / $1,866.75 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.64 / $1,887.37 / $7,630.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $601.32 / $1,951.83
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.08 / $1,343.92 / $2,122.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.05 / $2,468.66 / $3,685.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.89 / $4,694.95 / $7,630.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,380.80 / $3,380.80 / $3,380.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,742.11 / $5,061.63 / $6,554.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.00 / $1,821.64 / $4,272.39