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Wisconsin rates for HCPCS 27395

Lengthening Hamstring Tendon Multiple Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.34 / $1,804.03 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.73 / $891.77 / $3,960.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $12,444.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.41 / $1,973.86 / $5,267.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,280.73 / $2,665.22 / $4,088.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.74 / $3,496.42 / $3,973.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.34 / $1,202.69 / $1,885.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.34 / $1,764.20 / $13,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.94 / $1,835.31 / $6,535.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $532.70 / $1,653.08
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.34 / $1,197.48 / $1,885.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.70 / $2,136.82 / $3,189.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.81 / $4,190.20 / $6,535.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,825.19 / $2,825.19 / $2,825.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.92 / $4,336.60 / $5,564.34
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
$939.21 / $1,689.16 / $3,813.08