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Wisconsin rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.55 / $5,930.43 / $28,792.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.30 / $1,704.42 / $7,498.82
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
$1,566.88 / $3,647.43 / $9,308.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,672.59 / $9,672.59 / $9,672.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,188.41 / $4,894.47 / $7,508.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,367.15 / $6,446.61 / $7,325.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.55 / $2,193.63 / $3,493.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.55 / $3,301.15 / $16,779.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.95 / $3,318.41 / $12,090.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.36 / $973.73 / $3,112.97
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.55 / $2,078.84 / $3,493.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,248.70 / $3,958.42 / $5,909.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $23,559.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,925.59 / $7,843.95 / $12,090.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,234.45 / $5,234.45 / $5,234.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.24 / $8,058.59 / $10,259.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $12,447.00 / $17,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.21 / $3,443.96 / $7,004.96