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Wisconsin rates for HCPCS 20924

Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $15,135.61 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $2,570.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,000.00 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $11,481.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $1,698.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,489.63 / $19,952.62
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $14,454.40