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Wisconsin rates for HCPCS 27050

Arthrotomy, with biopsy; sacroiliac joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.87 / $849.17 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.98 / $415.03 / $1,836.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.41 / $797.74 / $2,332.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.50 / $1,942.50 / $1,942.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.74 / $1,259.42 / $1,931.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.03 / $1,641.23 / $1,865.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.87 / $545.24 / $849.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.87 / $775.06 / $7,891.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.53 / $807.00 / $3,048.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $250.96 / $804.12
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.87 / $539.57 / $849.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.30 / $999.50 / $1,492.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.47 / $1,722.47 / $4,754.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.86 / $1,921.40 / $3,048.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.79 / $1,311.79 / $1,311.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.68 / $2,005.24 / $2,611.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.92 / $771.88 / $1,843.89