go back

Wisconsin rates for HCPCS 27690

Tr/Trnspl 1 Tdn W/Musc Redirion/Rerouting Supfc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.72 / $1,331.37 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
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
$1,679.69 / $1,962.85 / $3,011.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.72 / $840.00 / $1,350.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.72 / $1,275.44 / $13,442.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.72 / $832.10 / $1,350.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.40 / $1,549.15 / $2,312.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,887.52 / $1,887.52 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00