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Wisconsin rates for HCPCS 28315

Sesamoidectomy First Toe Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.81 / $991.19 / $8,243.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.23 / $484.78 / $5,681.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.21 / $747.26 / $1,986.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.49 / $1,496.36 / $2,295.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.74 / $1,205.30 / $2,203.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.81 / $523.27 / $991.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.55 / $620.01 / $7,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.03 / $1,065.86 / $3,567.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $279.47 / $925.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.81 / $520.78 / $991.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.07 / $1,094.57 / $1,612.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.52 / $1,547.52 / $3,244.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.73 / $2,041.52 / $3,567.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.54 / $2,115.40 / $3,086.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.03 / $950.97 / $2,155.42