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Wisconsin rates for HCPCS 28505

Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed

Facilitymedian $6,918 · 10th–90th $851–$11,4820%10%10th90th$6,918Professionalmedian $1,514 · 10th–90th $871–$2,1880%10%10th90th$1,514$500.0$1.0K$2.0K$5.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,047.13 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,041.74 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $891.25 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $977.24 / $7,943.28
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,513.56 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $6,025.60 / $8,912.51
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,585.78 / $9,120.11