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Wisconsin rates for HCPCS 25927

Transmetacarpal Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.30 / $1,763.44 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.36 / $879.94 / $3,814.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,955.00 / $13,152.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.51 / $1,704.60 / $5,048.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.33 / $2,658.90 / $4,078.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.06 / $3,454.23 / $3,925.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.30 / $1,056.33 / $1,806.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.30 / $1,371.44 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.03 / $1,603.94 / $6,399.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $496.31 / $1,620.17
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.30 / $1,050.00 / $1,806.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.10 / $2,070.29 / $3,090.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.84 / $4,073.84 / $4,073.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.08 / $3,989.90 / $6,399.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,838.81 / $2,838.81 / $2,838.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.64 / $4,307.47 / $5,497.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.21 / $1,595.96 / $3,630.81