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Wisconsin rates for HCPCS 28635

Cltx Metatarsophlngl Jt Dislc Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.88 / $275.18 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $175.41 / $681.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.11 / $306.67 / $847.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.50 / $1,942.50 / $1,942.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.18 / $541.26 / $830.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.02 / $511.36 / $798.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.07 / $196.66 / $360.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.12 / $230.18 / $4,292.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.86 / $384.80 / $1,295.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.97 / $179.87 / $370.26
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.07 / $196.66 / $360.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.93 / $411.50 / $587.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.12 / $622.12 / $1,722.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.95 / $739.80 / $1,295.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.11 / $433.11 / $571.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.17 / $849.70 / $1,118.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.00 / $3,912.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.67 / $346.86 / $780.71