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Wisconsin rates for HCPCS 28120

Partial Excision Bone Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.44 / $1,245.00 / $12,459.10
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
$1,782.42 / $2,082.89 / $3,195.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.44 / $734.67 / $1,380.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.04 / $849.46 / $7,160.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.44 / $734.45 / $1,380.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.56 / $1,549.54 / $2,258.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.80 / $2,345.80 / $3,244.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00