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Wisconsin rates for HCPCS 65272

Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $794.33 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,096.48 / $1,949.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $741.31 / $3,981.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $776.25 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,122.02 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $1,737.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,754.40 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,621.81 / $3,715.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $2,511.89
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,388.44 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $707.95 / $1,905.46