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Wisconsin rates for HCPCS 27520

Closed Tx Patellar Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.50 / $645.95 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$226.88 / $245.96 / $936.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.85 / $327.94 / $1,363.16
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
$310.27 / $698.07 / $1,757.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.61 / $1,047.76 / $1,607.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.75 / $997.94 / $1,540.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.08 / $382.50 / $717.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.08 / $462.10 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.81 / $751.10 / $2,500.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $147.84 / $691.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.08 / $382.50 / $717.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.80 / $817.34 / $1,171.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,467.84
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,009.86 / $1,009.86 / $1,009.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.16 / $1,426.95 / $2,500.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.88 / $1,986.07 / $2,157.23
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
$340.45 / $679.74 / $1,408.23