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Wisconsin rates for HCPCS 28495

Closed treatment of fracture great toe, phalanx or phalanges; with manipulation

Professionalmedian $224 · 10th–90th $145–$6310%10%10th90th$224$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $177.83 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $295.12 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $446.68 / $870.96
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $524.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $363.08 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $199.53
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $436.52 / $676.08
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $457.09 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $870.96 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $588.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $1,000.00 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $251.19 / $660.69