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Artificial Iris Implant

Wisconsin rates for HCPCS 0616T

Implants an artificial iris, the colored ring of the eye, where the natural iris is missing or badly damaged after injury, previous surgery, or a condition present from birth. Restoring that ring cuts the glare and light sensitivity that come from an opening which can no longer narrow, and it also restores the eye's normal appearance.

Rates data updated July 2026.

How much does Artificial Iris Implant cost?

$4,571

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $4,677 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$1,479 to $1,778
FacilityA hospital or hospital-owned outpatient department$4,677$3,631 to $5,888

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,162 to $7,413Professionalmedian $1,738 · 10th to 90th $1,413 to $4,365
$100$200$500$1K$2K$5K$10Kfacility $4,677professional $1,738

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,677.35
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,890.45
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$83,176.38
Typical High
$83,176.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 28.8 times more in California than in Oregon. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 6th of 43

$4,571

CA $10,233OR $355

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.