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Wisconsin rates for HCPCS 28210

Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)

Facilitymedian $13,804 · 10th–90th $813–$22,3870%10%10th90th$13,804Professionalmedian $1,288 · 10th–90th $776–$1,9950%10%10th90th$1,288$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,202.26 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,862.09 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $776.25 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $831.76 / $14,125.38
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $10,715.19 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,288.25 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $18,620.87 / $27,542.29
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $14,125.38 / $17,782.79