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Wisconsin rates for HCPCS 65105

Enucleation Eye Implt Musc Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.01 / $3,497.96 / $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
$2,564.59 / $2,996.92 / $4,833.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.31 / $1,181.58 / $1,956.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.06 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.31 / $1,181.58 / $2,209.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.00 / $2,237.40 / $3,175.87
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