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Wisconsin rates for HCPCS 27405

Rpr Primary Torn Ligm&/Capsule Knee Collateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.11 / $1,392.34 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
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
$1,764.39 / $2,061.83 / $3,162.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.11 / $954.08 / $1,547.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.11 / $1,373.31 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.11 / $954.08 / $1,547.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.40 / $1,644.19 / $2,454.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,887.52 / $1,887.52 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00