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Wisconsin rates for HCPCS 28531

Open Tx Sesamoid Fracture W/Wo Internal Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.73 / $387.11 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.14 / $328.04 / $971.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,692.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.95 / $417.07 / $1,104.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.52 / $1,048.82 / $1,608.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.79 / $748.69 / $1,532.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.81 / $335.98 / $685.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.73 / $383.15 / $7,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.15 / $842.58 / $3,154.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $195.89 / $631.07
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.73 / $335.98 / $685.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.59 / $710.64 / $1,109.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.92 / $867.92 / $7,213.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.23 / $1,385.44 / $3,154.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.30 / $594.30 / $1,093.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.34 / $1,192.94 / $2,146.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.71 / $681.00 / $1,516.15