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Wisconsin rates for HCPCS 28675

Open Treatment Interphalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $866.09 / $6,461.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
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
$1,545.42 / $1,805.95 / $2,770.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.93 / $591.55 / $1,183.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.93 / $667.51 / $7,160.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.93 / $591.55 / $1,183.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.04 / $1,331.26 / $1,940.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.16 / $1,968.16 / $3,244.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00