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Wisconsin rates for HCPCS 28666

Prq Skel Fixj Interphalangeal Joint Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.65 / $366.50 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.53 / $176.65 / $784.88
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
$156.40 / $407.65 / $1,100.82
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
$469.48 / $548.63 / $841.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.06 / $706.49 / $817.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.88 / $213.05 / $374.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.72 / $313.91 / $8,103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.04 / $426.92 / $3,532.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.09 / $165.51 / $371.70
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.88 / $213.05 / $374.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.20 / $418.18 / $624.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.54 / $1,020.06 / $3,532.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.47 / $590.47 / $590.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.57 / $946.67 / $1,144.74
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
$194.47 / $369.03 / $747.11