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Wisconsin rates for HCPCS 29914

Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $8,317.64 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $5,011.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,041.74 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,398.83 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,489.63 / $19,952.62
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79