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Wisconsin rates for HCPCS 27612

Arthrt Pst Capsul Rls Ankle W/Wo Achll Tdn Lngth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.97 / $1,193.94 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.87 / $1,758.56 / $2,697.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.97 / $795.96 / $1,326.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.97 / $1,140.88 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.97 / $795.96 / $1,326.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.00 / $1,393.92 / $2,080.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00