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Wisconsin rates for HCPCS 28420

Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)

Facilitymedian $15,136 · 10th–90th $3,802–$28,1840%20%10th90th$15,136Professionalmedian $1,820 · 10th–90th $1,175–$5,4950%10%20%10th90th$1,820$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,630.27 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,288.25 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $16,982.44 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,630.27 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,890.45 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,897.79 / $5,888.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,630.27 / $6,760.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,090.30 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,630.27 / $16,595.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,290.87 / $9,549.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $10,715.19 / $17,378.01
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,951.21 / $5,248.07
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,884.03 / $4,265.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $36,307.81 / $52,480.75
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,165.95 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,168.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $7,079.46 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $14,125.38 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,905.46 / $5,248.07