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Wisconsin rates for HCPCS 27090

Removal Hip Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.83 / $1,690.76 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,929.10 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.16 / $2,500.94 / $3,836.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.83 / $1,050.85 / $1,780.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.83 / $1,470.00 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.83 / $1,048.56 / $1,780.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.50 / $2,003.76 / $2,991.22
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,821.36 / $6,821.36 / $6,821.36
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$383.00 / $383.00 / $383.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00