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Wisconsin rates for HCPCS 27696

Repair, primary, disrupted ligament, ankle; both collateral ligaments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,148.15 / $14,454.40
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
$1,445.44 / $1,698.24 / $2,818.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,148.15 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,230.27 / $11,481.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $1,862.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $17,378.01 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $14,454.40