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Wisconsin rates for HCPCS 26489

Transfer/Transplant Tendon Palmar W/Graft Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.09 / $1,967.04 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.17 / $982.34 / $4,323.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.21 / $2,201.73 / $5,937.01
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
$2,545.66 / $2,974.81 / $4,563.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.96 / $4,257.18 / $4,837.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.09 / $1,303.09 / $2,022.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.09 / $1,812.33 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.55 / $1,818.19 / $7,149.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $564.70 / $1,829.35
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.09 / $1,240.31 / $2,022.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.80 / $2,306.30 / $3,442.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,957.00 / $8,957.00 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,065.30 / $4,522.85 / $7,149.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,184.47 / $3,184.47 / $3,184.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,671.07 / $4,862.29 / $6,145.90
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
$980.55 / $1,947.32 / $4,119.02