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Wisconsin rates for HCPCS 26113

Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.63 / $1,139.04 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.48 / $1,507.48 / $1,507.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.99 / $1,682.74 / $2,581.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.63 / $727.83 / $1,185.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.63 / $1,125.44 / $8,103.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.63 / $727.83 / $1,185.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.15 / $1,339.27 / $1,999.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.33 / $1,455.33 / $4,017.35
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.79 / $380.79 / $380.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $7,495.00 / $9,134.00