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Wisconsin rates for HCPCS 28675

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $870.96 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $3,019.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $676.08 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $794.33 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $1,949.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,413.10 / $9,120.11