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Wisconsin rates for HCPCS 29866

Arthroscopy Knee Osteochondral Agrft Mosaicplast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.60 / $2,149.17 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.03 / $1,062.63 / $4,778.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.63 / $2,348.31 / $6,247.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,713.27 / $3,170.67 / $4,863.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.38 / $4,160.77 / $4,728.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.60 / $1,403.68 / $2,248.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.60 / $2,120.78 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.50 / $2,009.40 / $7,778.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $627.36 / $1,996.46
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.60 / $1,334.45 / $2,248.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.40 / $2,547.07 / $3,802.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.25 / $4,998.50 / $7,778.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,361.97 / $3,361.97 / $3,361.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,359.03 / $5,162.68 / $6,621.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.92 / $1,999.40 / $4,578.63