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Wisconsin rates for HCPCS 27691

Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $2,951.21 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $15,135.61 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $3,630.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,479.11 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,698.24 / $2,570.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $19,952.62 / $19,952.62
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87