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Wisconsin rates for HCPCS 27486

Revj Total Knee Arthrp W/Wo Algrft 1 Component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.47 / $5,056.64 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$673.74 / $673.74 / $2,528.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $37,855.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,571.14 / $4,173.16 / $6,401.73
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.47 / $1,956.64 / $3,152.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.47 / $2,783.15 / $19,754.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.47 / $1,956.64 / $3,152.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.00 / $3,373.92 / $5,036.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,086.80 / $13,086.80 / $13,086.80
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$5,159.08 / $5,159.08 / $5,159.08
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$644.89 / $644.89 / $644.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,650.00 / $14,566.00 / $27,414.00