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Wisconsin rates for HCPCS 27100

Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.35 / $1,702.17 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.80 / $841.43 / $3,769.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.59 / $1,860.82 / $4,948.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.87 / $2,514.64 / $3,857.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.10 / $3,296.36 / $3,745.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.35 / $1,177.83 / $1,762.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.35 / $1,651.46 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.14 / $1,669.00 / $7,132.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $490.81 / $1,572.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.35 / $1,166.70 / $1,762.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.60 / $2,014.85 / $3,007.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.21 / $3,942.65 / $7,132.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,662.85 / $2,662.85 / $2,662.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.06 / $4,084.40 / $5,245.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.38 / $1,587.60 / $3,587.81