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Wisconsin rates for HCPCS 26720

Cltx Phlngl Fx Prox/Middle Px/F/T W/O Manj Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.67 / $410.94 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$143.00 / $152.54 / $585.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.97 / $218.41 / $987.83
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$141.16 / $154.56 / $651.23
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
$190.62 / $440.01 / $1,154.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.50 / $654.98 / $1,004.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.90 / $706.21 / $1,057.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.64 / $235.39 / $449.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.64 / $292.07 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.84 / $435.74 / $1,554.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $123.56 / $416.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.64 / $233.78 / $449.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.60 / $510.68 / $761.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $930.88
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$641.12 / $641.12 / $641.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.17 / $891.00 / $1,554.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.21 / $1,261.33 / $1,343.71
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
$208.84 / $409.32 / $847.72