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Wisconsin rates for HCPCS 0616T

Insj Iris Prosth W/Suture Fixation&Rpr/Rmvl Iris

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,351.00 / $4,314.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,363.88 / $3,930.96 / $6,340.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.88 / $1,441.87 / $1,749.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,317.02 / $4,317.02 / $4,317.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.00 / $1,484.00 / $1,869.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,492.39 / $83,492.39 / $83,492.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,287.94 / $4,317.02 / $4,317.02