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Wisconsin rates for HCPCS 28496

Prq Skel Fixj Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.17 / $579.33 / $3,119.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.41 / $1,603.76 / $2,460.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.17 / $463.34 / $999.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.01 / $544.04 / $7,160.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.17 / $463.34 / $999.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.35 / $987.35 / $1,707.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.24 / $1,314.24 / $3,244.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,754.00 / $8,384.00