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Wisconsin rates for HCPCS 65730

Keratoplasty Pentrg Except Aphakia/Pseudophakia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.77 / $4,587.16 / $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
$3,314.32 / $3,873.04 / $6,247.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.93 / $1,696.38 / $2,548.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.86 / $5,266.00 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.93 / $1,696.38 / $3,072.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.00 / $2,934.36 / $4,165.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,879.05 / $11,879.05 / $11,879.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00