go back

Wisconsin rates for HCPCS 27250

Cltx Hip Dislocation Traumatic W/O Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.04 / $350.91 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$126.78 / $126.78 / $469.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.14 / $509.67 / $781.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.04 / $253.56 / $496.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.16 / $373.58 / $1,756.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$219.45 / $219.45 / $219.45
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.04 / $253.56 / $496.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.35 / $426.89 / $637.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $2,000.00
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$651.70 / $651.70 / $651.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90