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Wisconsin rates for HCPCS 27703

Arthroplasty, ankle; revision, total ankle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.16 / $2,266.90 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $37,855.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,850.24 / $3,330.73 / $5,109.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.16 / $1,612.02 / $2,518.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.16 / $2,224.56 / $14,246.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.16 / $1,558.59 / $2,518.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.30 / $2,678.54 / $3,998.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,394.40 / $10,394.40 / $10,394.40
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$511.97 / $511.97 / $511.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00