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Wisconsin rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.18 / $176.12 / $621.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.22 / $344.69 / $870.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.02 / $554.45 / $852.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.69 / $398.13 / $1,377.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $124.04 / $419.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.40 / $446.69 / $640.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.75 / $790.07 / $1,377.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.44 / $990.65 / $1,194.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.54 / $334.78 / $774.53