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Wisconsin rates for HCPCS 27884

Amputation, leg, through tibia and fibula; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.26 / $1,153.55 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.61 / $1,697.48 / $2,603.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.69 / $656.24 / $1,211.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.97 / $1,102.28 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.69 / $641.46 / $1,211.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.84 / $1,385.21 / $2,067.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00