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Wisconsin rates for HCPCS 26715

Open Treatment Metacarpophalangeal Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.91 / $1,197.02 / $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
$1,519.29 / $1,775.41 / $2,723.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $711.91 / $1,330.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.91 / $1,136.84 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $711.91 / $1,330.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.40 / $1,406.59 / $2,099.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00