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Wisconsin rates for HCPCS 28322

Rpr Non/Malunion Metarsal W/Wo Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.89 / $1,612.82 / $8,243.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,254.37 / $10,254.37 / $10,254.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,083.39 / $2,434.61 / $3,734.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.89 / $850.34 / $1,612.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.16 / $1,015.21 / $7,318.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.89 / $850.34 / $1,612.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.33 / $1,821.04 / $2,654.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,732.72 / $2,732.72 / $9,826.14
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$266.74 / $266.74 / $266.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00