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Wisconsin rates for HCPCS 28294

Surgery-Musculoskeletal System

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.84 / $2,291.39 / $3,515.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.49 / $1,479.24 / $2,695.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.40 / $931.72 / $1,500.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.40 / $931.72 / $1,505.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.00 / $3,870.00 / $3,870.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.40 / $931.72 / $1,500.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,795.35 / $7,795.35 / $7,795.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.52 / $2,139.56 / $3,870.00