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Wisconsin rates for HCPCS 65093

Evisceration Ocular Contents W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.68 / $2,688.71 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $12,444.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.27 / $2,318.77 / $3,740.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.81 / $966.33 / $1,507.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.35 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.50 / $966.33 / $1,630.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.59 / $1,719.43 / $2,440.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $9,001.70 / $9,001.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,882.00 / $12,631.00