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Wisconsin rates for HCPCS 26641

Cltx Carpo/Metacarpal Dislocation Thumb W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.96 / $813.94 / $1,595.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.78 / $419.79 / $1,595.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.41 / $835.18 / $2,218.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.52 / $1,336.30 / $2,049.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.77 / $1,272.44 / $2,094.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.75 / $477.56 / $904.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.75 / $571.44 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.97 / $841.10 / $3,199.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $270.90 / $843.35
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.75 / $477.56 / $904.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.30 / $1,047.02 / $1,532.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,854.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.68 / $1,822.46 / $3,199.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.69 / $1,249.69 / $1,374.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.66 / $2,501.59 / $2,755.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.97 / $732.92 / $1,667.39