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Wisconsin rates for HCPCS 27091

Rmvl Hip Prosth Comp W/Tot Hip Prosth Mma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.97 / $3,208.99 / $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
$4,036.12 / $4,716.52 / $7,235.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.97 / $2,214.36 / $3,565.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.97 / $3,145.08 / $7,891.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.97 / $2,214.36 / $3,565.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,134.95 / $3,819.82 / $5,702.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,372.77 / $20,372.77 / $20,372.77
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$730.11 / $730.11 / $730.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00