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Wisconsin rates for HCPCS 28510

Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.13 / $261.50 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$90.85 / $91.35 / $349.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.62 / $121.80 / $524.00
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$89.51 / $91.35 / $479.69
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
$120.01 / $279.52 / $731.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.41 / $219.41 / $219.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.22 / $391.73 / $600.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.29 / $505.37 / $575.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.22 / $148.76 / $269.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.22 / $187.43 / $1,455.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.63 / $265.64 / $931.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $72.74 / $219.68
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.22 / $147.27 / $269.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.00 / $320.76 / $495.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.83 / $164.83 / $2,165.76
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$301.91 / $301.91 / $301.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.33 / $580.00 / $931.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.69 / $804.26 / $806.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $241.96 / $537.16