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Wisconsin rates for HCPCS 28005

Incision Bone Cortex Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.41 / $1,197.20 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.59 / $632.19 / $2,528.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.16 / $1,307.10 / $3,649.92
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
$1,510.28 / $1,764.88 / $2,707.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.59 / $2,323.07 / $2,639.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.62 / $792.97 / $1,330.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.41 / $1,153.79 / $8,296.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.10 / $1,228.60 / $4,399.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.81 / $341.61 / $1,089.62
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.62 / $792.97 / $1,330.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.40 / $1,374.91 / $2,052.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.85 / $2,834.55 / $4,399.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.24 / $2,892.96 / $3,697.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.00 / $1,147.08 / $2,579.44