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Wisconsin rates for HCPCS 65103

Enucleation of eye; with implant, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,819.70 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $4,365.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $3,162.28 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $4,265.80 / $11,481.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,862.09 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $8,912.51
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57