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Wisconsin rates for HCPCS 28660

Cltx Interphalangeal Joint Dislocation W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.07 / $194.81 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$68.30 / $92.41 / $353.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.61 / $192.61 / $192.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.92 / $394.89 / $605.77
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.62 / $136.61 / $263.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.62 / $158.69 / $1,449.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.62 / $136.61 / $263.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.06 / $300.04 / $437.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.16 / $158.16 / $437.49
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$306.24 / $306.24 / $306.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90