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Wisconsin rates for HCPCS 28220

Tenolysis, flexor, foot; single tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.58 / $641.66 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.88 / $446.56 / $1,612.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.33 / $698.29 / $1,776.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.22 / $796.22 / $796.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.10 / $1,415.27 / $2,171.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.06 / $1,124.79 / $2,082.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.58 / $494.14 / $926.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.94 / $603.46 / $6,669.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.09 / $999.50 / $3,369.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $255.86 / $853.17
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.58 / $494.14 / $926.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.98 / $1,022.82 / $1,506.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.99 / $548.99 / $1,452.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.11 / $1,928.88 / $3,369.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.21 / $1,988.49 / $2,916.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.09 / $889.63 / $2,021.20