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Wisconsin rates for HCPCS 28173

Radical Resection Tumor Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.23 / $2,704.02 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.37 / $719.23 / $3,486.63
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
$735.59 / $1,659.77 / $4,456.42
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
$1,902.26 / $2,222.94 / $3,410.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.05 / $2,895.38 / $3,348.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.32 / $880.00 / $1,524.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.46 / $1,078.84 / $8,103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.94 / $1,503.88 / $5,501.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $435.64 / $1,355.71
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.32 / $863.13 / $1,524.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.20 / $1,732.90 / $2,586.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.40 / $3,647.10 / $5,501.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.29 / $2,390.29 / $2,390.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,260.98 / $3,806.02 / $4,689.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.21 / $1,503.88 / $3,257.01