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Wisconsin rates for HCPCS 27054

Arthrotomy W/Synovectomy Hip Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.27 / $1,415.81 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,955.00 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.33 / $2,094.48 / $3,212.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.27 / $943.88 / $1,573.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.27 / $1,375.09 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.27 / $939.78 / $1,573.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.75 / $1,675.08 / $2,500.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,692.96 / $5,692.96 / $5,692.96
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$320.17 / $320.17 / $320.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00