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Wisconsin rates for HCPCS 26541

Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $13,803.84 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,570.40 / $4,168.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,659.59 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,737.80 / $11,220.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,762.47 / $11,481.54
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$776.25 / $776.25 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25