go back

Wisconsin rates for HCPCS 27650

Repair, primary, open or percutaneous, ruptured Achilles tendon;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $10,715.19 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $3,388.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,318.26 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,412.54 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,290.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,489.63 / $19,952.62
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87