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Wisconsin rates for HCPCS 69727

Removal Entire Oi Implt Skl Mag Tc Attch Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.02 / $1,091.05 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.50 / $494.02 / $677.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.23 / $1,210.30 / $2,696.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.93 / $1,630.09 / $2,629.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,534.50 / $2,216.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.02 / $581.89 / $1,042.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.40 / $7,081.00 / $12,216.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.25 / $1,197.58 / $2,699.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $421.79 / $1,110.11
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.02 / $581.89 / $1,042.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.54 / $1,263.66 / $1,894.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,957.00 / $8,957.00 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.72 / $2,246.13 / $3,967.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.06 / $1,324.06 / $1,324.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.40 / $2,997.40 / $2,997.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.05 / $1,328.20 / $2,324.07