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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
$549.54 / $1,148.15 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
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 / $1,096.48 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,148.15 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11