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Wisconsin rates for HCPCS 28315

Sesamoidectomy, first toe (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,000.00 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,230.27 / $2,238.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $616.60 / $5,623.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $660.69 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $954.99 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $1,584.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $2,344.23 / $3,467.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,137.96 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $645.65 / $1,737.80