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Wisconsin rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,995.26 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,995.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $14,125.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,905.46 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,570.40 / $3,548.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,162.28 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,265.80 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,778.28 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,041.74 / $2,951.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $4,365.16 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $9,332.54 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $3,801.89