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Wisconsin rates for HCPCS 28760

Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.96 / $1,191.71 / $8,243.00
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
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,053.65 / $2,399.86 / $3,681.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.96 / $838.44 / $1,576.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.28 / $950.96 / $12,741.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.96 / $811.55 / $1,576.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.44 / $1,807.87 / $2,592.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.40 / $2,709.40 / $7,213.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00