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Wisconsin rates for HCPCS 28088

Synovectomy Tendon Sheath Foot Extensor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.32 / $618.62 / $3,119.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
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
$1,248.05 / $1,458.45 / $2,237.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.32 / $509.72 / $956.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.10 / $590.64 / $7,160.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.32 / $498.80 / $956.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.72 / $1,025.45 / $1,559.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.92 / $1,397.92 / $3,244.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00