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Wisconsin rates for HCPCS 65150

Reinsertion Ocular Implt W/Wo Conjunctival Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.84 / $2,558.58 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.61 / $1,068.84 / $3,095.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.27 / $1,380.04 / $3,241.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.45 / $2,210.31 / $3,565.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.69 / $1,702.80 / $2,552.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.04 / $885.44 / $1,435.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.76 / $4,240.00 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.76 / $1,263.10 / $5,229.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $397.29 / $1,125.08
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.04 / $885.44 / $1,435.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.00 / $1,635.48 / $2,321.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $9,001.70 / $9,001.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.46 / $3,095.85 / $5,229.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,373.65 / $3,373.65 / $3,373.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.64 / $4,356.16 / $6,862.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.41 / $1,257.66 / $2,713.51