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Wisconsin rates for HCPCS 27435

Capsulotomy, posterior capsular release, knee

Facilitymedian $8,128 · 10th–90th $2,399–$13,1830%10%10th90th$8,128Professionalmedian $1,820 · 10th–90th $1,202–$2,6920%10%20%10th90th$1,820$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,659.59 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,454.71 / $3,890.45
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,659.59 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,659.59 / $11,481.54
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $6,025.60 / $8,912.51
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$602.56 / $602.56 / $891.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,000.00 / $12,022.64