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Wisconsin rates for HCPCS 29889

Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.52 / $2,493.94 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.57 / $1,254.66 / $4,710.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.79 / $2,726.59 / $7,255.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,551.22 / $14,551.22 / $14,551.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.71 / $3,677.18 / $5,640.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.02 / $4,829.89 / $5,488.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.52 / $1,665.87 / $2,771.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.52 / $2,466.92 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.71 / $2,548.39 / $9,345.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.60 / $724.88 / $2,323.66
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.52 / $1,665.87 / $2,771.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,427.10 / $2,957.33 / $4,414.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,420.95 / $17,420.95 / $48,089.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.71 / $5,818.25 / $9,345.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,904.48 / $3,904.48 / $3,904.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,934.09 / $6,002.17 / $7,686.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.06 / $2,346.42 / $5,294.61