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Wisconsin rates for HCPCS 26170

Excision Tendon Palm Flexor/Extensor Single Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.31 / $856.60 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.50 / $1,942.50 / $1,942.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.45 / $1,273.10 / $1,952.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.50 / $543.61 / $951.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.50 / $805.49 / $5,261.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.50 / $543.61 / $951.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.90 / $1,002.67 / $1,496.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.47 / $1,722.47 / $4,754.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.00 / $3,912.00 / $5,865.00