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Wisconsin rates for HCPCS 65175

Removal of ocular implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $3,890.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,698.24 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $4,265.80 / $11,481.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,659.59 / $2,398.83
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