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Wisconsin rates for HCPCS 28515

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $239.88 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $281.84 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $537.03 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $489.78 / $794.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $229.09 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $263.03 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$630.96 / $630.96 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $316.23 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $186.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $575.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,258.93 / $1,819.70
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$295.12 / $295.12 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $794.33 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $954.99 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $229.09 / $630.96