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Wisconsin rates for HCPCS 28106

Exc/Curtg Cst/B9 Tum Tarsal/Metar W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.26 / $898.79 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.76 / $423.26 / $2,024.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.00 / $976.75 / $2,768.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.81 / $1,322.61 / $2,028.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.50 / $1,743.23 / $1,980.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.64 / $634.89 / $998.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.26 / $855.94 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.34 / $927.44 / $3,959.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $250.13 / $799.38
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.64 / $634.89 / $998.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.40 / $1,026.43 / $1,532.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,645.43 / $11,645.43 / $32,146.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.57 / $2,117.44 / $3,959.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.62 / $1,403.62 / $1,403.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.66 / $2,258.69 / $2,774.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.44 / $840.60 / $1,890.97