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Wisconsin rates for HCPCS 28645

Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $6,456.54 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,659.59 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $794.33 / $4,677.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $954.99 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,288.25 / $4,897.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,235.94 / $4,677.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $3,162.28 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $870.96 / $2,344.23