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Wisconsin rates for HCPCS 28210

Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.22 / $879.62 / $11,276.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.37 / $1,849.12 / $2,836.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.22 / $625.50 / $1,205.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.14 / $689.79 / $12,741.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.22 / $622.94 / $1,205.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.40 / $1,357.49 / $1,978.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.72 / $2,009.72 / $9,941.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00