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Wisconsin rates for HCPCS 26750

Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.85 / $409.23 / $1,895.46
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$142.38 / $143.63 / $553.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.71 / $195.18 / $782.17
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
$177.92 / $441.98 / $1,156.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.69 / $315.69 / $315.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.85 / $608.65 / $933.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.81 / $589.65 / $998.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.25 / $224.08 / $423.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.17 / $284.77 / $1,449.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$369.00 / $369.00 / $369.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $408.13 / $1,452.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $123.56 / $419.70
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.25 / $224.08 / $423.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.50 / $488.12 / $721.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.20 / $257.20 / $3,930.50
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$638.98 / $638.98 / $638.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.65 / $889.10 / $1,469.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.72 / $1,253.04 / $1,268.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $389.92 / $1,047.23