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Wisconsin rates for HCPCS 27428

Ligamentous Reconstruction Knee Intra-Articular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.23 / $2,282.19 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,551.22 / $14,551.22 / $14,551.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,880.88 / $3,366.54 / $5,164.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.23 / $1,564.31 / $2,745.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.23 / $2,246.71 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.23 / $1,564.31 / $2,745.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.10 / $2,703.89 / $4,036.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,629.66 / $13,629.66 / $38,302.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00