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Wisconsin rates for HCPCS 28305

Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,041.74 / $3,311.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,380.38 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $2,290.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $27,542.29 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79