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Wisconsin rates for HCPCS 27652

Rpr Primary Open/Prq Ruptured Achilles W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.89 / $2,472.04 / $21,322.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.69 / $2,058.67 / $3,158.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.89 / $980.84 / $1,541.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.89 / $1,349.99 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.89 / $980.84 / $1,541.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.80 / $1,609.34 / $2,402.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,509.94 / $9,509.94 / $26,251.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00