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Wisconsin rates for HCPCS 27658

Repair Flexor Tendon Leg Primary W/O Graft Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.63 / $3,012.37 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
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
$978.62 / $1,143.58 / $1,754.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.63 / $546.95 / $861.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.63 / $765.51 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.63 / $546.95 / $861.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.70 / $901.30 / $1,345.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$849.00 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00