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Wisconsin rates for HCPCS 28262

Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,290.87 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $15,135.61 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,168.69 / $6,606.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,311.31 / $4,897.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $25,118.86 / $25,118.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11