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Wisconsin rates for HCPCS 26497

Tr Tdn Restore Intrnsc Funcj Ring&Sm Fngr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.43 / $1,850.38 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.72 / $914.59 / $3,528.46
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
$816.46 / $1,788.85 / $5,552.86
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
$2,386.17 / $2,788.42 / $4,277.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.30 / $3,783.91 / $4,541.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.43 / $1,252.20 / $1,896.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.43 / $1,691.02 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.97 / $1,765.00 / $6,720.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $539.41 / $1,759.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.43 / $1,233.58 / $1,896.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.95 / $2,172.46 / $3,243.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.26 / $4,200.55 / $6,720.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,978.40 / $2,978.40 / $2,978.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.32 / $4,520.72 / $5,769.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.97 / $1,751.81 / $3,822.50