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Wisconsin rates for HCPCS 28405

Closed Tx Calcaneal Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.21 / $856.13 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.95 / $448.42 / $1,617.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $3,163.00 / $5,768.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.37 / $864.92 / $2,048.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.31 / $1,423.70 / $2,183.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.91 / $1,354.70 / $2,100.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.50 / $509.72 / $951.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.50 / $600.77 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.78 / $860.91 / $3,421.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $276.50 / $914.37
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.50 / $509.72 / $951.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.00 / $1,120.68 / $1,541.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,952.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.61 / $1,945.58 / $3,421.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.16 / $1,152.16 / $1,280.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.92 / $2,629.26 / $2,941.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.74 / $794.58 / $1,799.79