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Wisconsin rates for HCPCS 65280

Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.74 / $2,452.16 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.70 / $2,069.19 / $3,337.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.71 / $921.98 / $1,911.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.81 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.71 / $947.84 / $1,911.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.59 / $1,568.95 / $2,227.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,907.95 / $14,907.95 / $14,907.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00