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Wisconsin rates for HCPCS 28272

Capsulotomy Iphal Joint Each Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.61 / $532.13 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.86 / $380.19 / $1,005.13
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
$316.20 / $576.03 / $1,466.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.83 / $709.83 / $709.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.88 / $1,204.67 / $1,847.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.44 / $937.20 / $1,771.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.86 / $380.19 / $791.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.40 / $491.25 / $6,669.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.28 / $867.38 / $2,862.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $227.13 / $710.88
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.86 / $380.19 / $791.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.15 / $868.72 / $1,280.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.54 / $476.54 / $1,196.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.49 / $1,640.93 / $2,862.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.98 / $1,642.07 / $2,480.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $7,495.00 / $9,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.01 / $771.00 / $1,759.81