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Wisconsin rates for HCPCS 65260

Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route

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
$912.01 / $1,096.48 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,905.46 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,019.95 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,630.27 / $3,630.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,162.28 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,905.46 / $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
$933.25 / $1,995.26 / $3,019.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,918.31 / $6,918.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $4,677.35 / $7,079.46
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
$3,715.35 / $3,715.35 / $3,715.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $9,549.93 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,621.81 / $4,073.80