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Wisconsin rates for HCPCS 27407

Repair Primary Torn Ligm&/Capsule Knee Cruciat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.57 / $1,636.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.03 / $817.56 / $4,165.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.72 / $1,787.47 / $4,754.70
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
$2,068.07 / $2,416.69 / $3,707.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.20 / $3,167.38 / $3,599.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.57 / $1,094.00 / $1,711.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.57 / $1,612.31 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.03 / $1,658.07 / $5,915.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $469.00 / $1,525.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.57 / $1,094.00 / $1,711.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.90 / $1,937.23 / $2,891.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,266.79 / $10,266.79 / $28,340.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.87 / $3,785.55 / $5,915.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,558.63 / $2,558.63 / $2,558.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.87 / $3,923.54 / $5,040.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.11 / $1,589.97 / $3,632.84