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Wisconsin rates for HCPCS 27886

Amp Leg Thru Tibia&Fibula Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.51 / $1,287.56 / $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
$1,623.82 / $1,897.56 / $2,910.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.51 / $920.27 / $1,486.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.51 / $1,259.41 / $14,246.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.51 / $920.27 / $1,486.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.40 / $1,549.15 / $2,312.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,755.90 / $3,755.90 / $3,755.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00