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Wisconsin rates for HCPCS 29916

Arthroscopy Hip W/Labral Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.93 / $8,243.00 / $16,658.73
Aetna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$667.80 / $667.80 / $667.80
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
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,603.34 / $3,042.20 / $4,666.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.93 / $1,354.69 / $2,174.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.93 / $2,031.58 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.93 / $1,354.69 / $2,174.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.15 / $2,448.07 / $3,654.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,887.52 / $1,887.52 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,729.00 / $12,447.00 / $17,450.00