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Wisconsin rates for HCPCS 28114

Ostc Compl All Metar Heads W/Prtl Prox Phalangc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.18 / $1,746.34 / $6,461.00
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
$2,827.71 / $3,304.41 / $5,069.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.18 / $1,228.32 / $2,206.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.39 / $1,404.26 / $7,160.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.18 / $1,228.32 / $2,206.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.61 / $2,550.23 / $3,619.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $3,954.20
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$387.54 / $387.54 / $387.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00