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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,630.27 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,318.26 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,982.44 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,630.27 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $5,248.07 / $5,888.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,511.89 / $6,456.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,630.27 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,290.87 / $9,549.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,884.03 / $4,365.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $36,307.81 / $52,480.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $7,079.46 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,905.46 / $5,248.07