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Wisconsin rates for HCPCS 28545

Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.26 / $579.49 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.26 / $309.76 / $1,252.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.91 / $540.50 / $1,599.75
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
$848.86 / $991.95 / $1,521.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.66 / $994.19 / $1,454.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.26 / $362.42 / $663.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.26 / $444.20 / $7,318.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.70 / $652.41 / $2,356.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $147.84 / $691.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.26 / $362.42 / $663.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.98 / $772.20 / $1,107.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.04 / $1,315.04 / $3,244.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.13 / $1,347.53 / $2,356.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.59 / $881.59 / $1,011.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.11 / $1,779.28 / $2,037.18
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
$294.70 / $562.52 / $1,319.32