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Wisconsin rates for HCPCS 28086

Synovectomy Tendon Sheath Foot Flexor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.66 / $1,068.36 / $8,698.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.66 / $525.10 / $1,644.46
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
$441.69 / $804.60 / $2,151.67
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
$1,401.24 / $1,637.46 / $2,511.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.10 / $1,277.15 / $2,406.73
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.98 / $569.79 / $1,066.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.42 / $712.25 / $7,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.52 / $1,203.88 / $3,894.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $301.24 / $997.89
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.98 / $569.79 / $1,066.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.88 / $1,184.47 / $1,745.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.48 / $1,660.48 / $3,244.77
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$160.77 / $160.77 / $160.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.18 / $2,229.48 / $3,894.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.37 / $2,258.77 / $3,370.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.12 / $1,078.61 / $2,402.30