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Wisconsin rates for HCPCS 29889

Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $6,456.54 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,982.44 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,454.71 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,715.35 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $4,897.79 / $5,623.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,511.89 / $8,709.64
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,884.03 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,630.27 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,187.76 / $9,332.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,691.53 / $4,168.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $47,863.01 / $47,863.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $5,754.40 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $6,760.83 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,819.70 / $5,011.87