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Wisconsin rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.41 / $152.94 / $581.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $250.18 / $666.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.11 / $428.97 / $716.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.75 / $344.97 / $1,166.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.44 / $164.41 / $350.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.96 / $365.60 / $532.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.55 / $664.02 / $1,166.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.91 / $709.10 / $1,003.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.04 / $304.60 / $686.55