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Wisconsin rates for HCPCS 26863

Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $457.09 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,165.95 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $446.68 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $933.25 / $1,122.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $436.52 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $457.09 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $691.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $2,398.83 / $2,398.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,071.52 / $1,659.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,230.27 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $912.01