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Wisconsin rates for HCPCS 27516

Cltx Distal Femoral Epiphysl Separation W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.70 / $1,021.01 / $1,949.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.04 / $514.17 / $2,066.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.97 / $959.40 / $2,797.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.03 / $1,629.04 / $2,498.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.96 / $1,550.92 / $2,376.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.70 / $633.91 / $1,090.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.28 / $723.36 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.38 / $1,179.77 / $3,923.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $236.10 / $1,044.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.28 / $623.99 / $1,090.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.65 / $1,283.83 / $1,852.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $2,916.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.75 / $2,294.19 / $3,923.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.37 / $1,573.37 / $1,687.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.52 / $3,141.52 / $3,369.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.96 / $977.27 / $2,229.50