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Wisconsin rates for HCPCS 26483

Tendon Transfer Transplant Carp/Mtcrpl Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.21 / $1,788.43 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,319.48 / $2,710.50 / $4,157.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.21 / $1,117.85 / $1,836.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.21 / $1,623.72 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.21 / $1,099.00 / $1,836.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.45 / $2,085.34 / $3,113.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,957.00 / $8,957.00 / $8,957.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$849.00 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00