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Wisconsin rates for HCPCS 28665

Closed treatment of interphalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $478.63 / $676.08
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $316.23 / $436.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $302.00 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $363.08 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $741.31 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $831.76 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $588.84