go back

Wisconsin rates for HCPCS 27409

Rpr 1 Torn Ligm&/Capsl Kne Coltrl&Cruciate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.57 / $1,971.85 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.00 / $974.78 / $4,397.74
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
$918.66 / $2,159.02 / $5,749.05
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
$2,489.79 / $2,909.52 / $4,463.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.28 / $3,820.92 / $4,341.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.57 / $1,350.94 / $2,078.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.57 / $1,935.37 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.55 / $2,014.87 / $7,146.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $583.76 / $1,857.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.57 / $1,350.94 / $2,078.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.80 / $2,337.98 / $3,490.15
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
$1,787.63 / $4,600.14 / $7,146.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,093.70 / $3,093.70 / $3,093.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.47 / $4,753.30 / $6,080.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,981.00 / $11,799.00 / $16,373.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.75 / $1,849.26 / $4,186.14