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Wisconsin rates for HCPCS 15823

Blepharoplasty Upper Eyelid W/Excessive Skin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.88 / $1,288.78 / $9,245.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,673.20 / $5,292.03 / $5,292.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.88 / $561.58 / $1,896.45
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$762.08 / $3,150.18 / $8,708.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.32 / $1,340.59 / $2,639.15
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$895.98 / $2,085.04 / $3,999.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.38 / $1,955.48 / $2,999.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.01 / $949.07 / $1,845.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.77 / $836.00 / $1,709.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.08 / $1,181.60 / $4,842.29
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,439.60 / $4,800.87 / $5,752.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.71 / $1,182.38 / $4,128.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $351.92 / $1,099.16
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.77 / $836.00 / $1,709.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.54 / $1,529.20 / $2,044.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.76 / $1,431.07 / $3,892.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.41 / $2,659.35 / $4,664.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.73 / $2,191.17 / $2,700.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.21 / $1,193.88 / $2,508.64