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Wisconsin rates for HCPCS 28740

Arthrodesis Midtarsometatarsal Single Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.17 / $1,695.51 / $12,348.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,885.57 / $10,885.57 / $10,885.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,190.62 / $2,559.92 / $3,926.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.17 / $904.27 / $1,695.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.92 / $1,130.33 / $12,741.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.17 / $904.27 / $1,695.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.84 / $1,922.22 / $2,782.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.44 / $2,912.44 / $10,368.86
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$283.69 / $283.69 / $283.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00