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Wisconsin rates for HCPCS 65101

Enucleation Of Eye W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.56 / $3,108.79 / $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
$2,288.84 / $2,674.70 / $4,314.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.26 / $1,033.78 / $1,711.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.20 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.26 / $1,033.78 / $1,741.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.40 / $1,987.13 / $2,820.62
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 / $9,837.00 / $12,062.00