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Wisconsin rates for HCPCS 28470

Closed Tx Metatarsal Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.11 / $361.40 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$154.58 / $164.63 / $625.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.59 / $226.97 / $1,007.00
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$153.41 / $164.63 / $788.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.89 / $475.64 / $1,260.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.43 / $250.50 / $319.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.26 / $214.47 / $282.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.95 / $703.42 / $1,079.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.73 / $665.95 / $1,032.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.26 / $264.39 / $485.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.26 / $324.14 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.49 / $485.09 / $1,670.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $180.36 / $482.31
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.26 / $259.63 / $485.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.65 / $542.76 / $805.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $998.32
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$681.37 / $681.37 / $681.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.31 / $986.50 / $1,670.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.86 / $1,361.35 / $1,445.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.92 / $1,297.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.49 / $462.86 / $961.64