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Wisconsin rates for HCPCS 27652

Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $17,782.79 / $21,379.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,041.74 / $3,311.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,348.96 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,238.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $26,302.68 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87