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Wisconsin rates for HCPCS 27658

Repair, flexor tendon, leg; primary, without graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $3,019.95 / $17,378.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,905.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $758.58 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $776.25 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,288.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$602.56 / $602.56 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11