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Wisconsin rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.97 / $1,817.89 / $19,624.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.88 / $634.23 / $2,266.53
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
$606.77 / $1,105.32 / $3,141.62
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
$1,740.96 / $2,034.45 / $3,120.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.03 / $1,787.52 / $3,003.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.34 / $686.30 / $1,339.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.34 / $798.18 / $7,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.39 / $1,423.58 / $4,876.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $376.04 / $1,227.49
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.34 / $680.77 / $1,339.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.89 / $1,521.96 / $2,198.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.12 / $2,312.12 / $3,244.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.50 / $2,782.71 / $4,876.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.05 / $3,151.48 / $4,206.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.83 / $1,285.71 / $2,945.03