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Wisconsin rates for HCPCS 29888

Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.80 / $11,720.56 / $19,538.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.18 / $1,161.05 / $10,184.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,504.21 / $2,926.37 / $4,489.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.43 / $1,415.15 / $2,846.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.43 / $2,084.98 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.43 / $1,415.15 / $2,846.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.00 / $2,344.32 / $3,499.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,509.94 / $9,509.94 / $26,251.60
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,488.28 / $2,488.28 / $2,488.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $13,721.00 / $17,327.00