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Wisconsin rates for HCPCS 65285

Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.19 / $4,044.05 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.22 / $3,405.50 / $5,492.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.38 / $1,523.21 / $2,166.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.92 / $4,132.97 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.38 / $1,523.21 / $2,241.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.80 / $2,588.26 / $3,673.89
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
$4,614.00 / $6,477.00 / $8,384.00