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Wisconsin rates for HCPCS 27880

Amputation Leg Through Tibia&Fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.67 / $1,756.76 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,006.00 / $18,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,205.94 / $2,577.82 / $3,954.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.67 / $1,197.99 / $1,951.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.92 / $1,708.28 / $16,976.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.67 / $1,197.99 / $1,951.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.50 / $2,130.48 / $3,180.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.70 / $5,162.70 / $5,162.70
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$407.22 / $407.22 / $407.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,452.00 / $17,119.00 / $22,229.00