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Wisconsin rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.08 / $903.51 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.19 / $580.10 / $2,197.78
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
$535.96 / $976.34 / $2,584.85
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
$1,569.75 / $1,834.38 / $2,813.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.20 / $1,589.32 / $2,700.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $642.50 / $1,215.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.08 / $710.80 / $7,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.83 / $1,300.16 / $4,369.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $335.88 / $1,115.10
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $634.62 / $1,215.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.78 / $1,355.17 / $1,975.22
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,028.88 / $2,028.88 / $3,244.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.03 / $2,501.28 / $4,369.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.43 / $2,778.09 / $3,781.46
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
$592.78 / $1,169.06 / $2,629.22