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Wisconsin rates for HCPCS 65756

Keratoplasty Endothelial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.60 / $4,339.18 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,321.95 / $1,321.95 / $3,254.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.43 / $1,762.60 / $4,339.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.84 / $2,275.75 / $5,489.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,109.77 / $3,634.01 / $5,861.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.04 / $2,851.20 / $4,252.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.64 / $1,677.24 / $2,312.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.51 / $7,301.00 / $15,702.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.57 / $2,314.40 / $8,135.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $667.40 / $1,956.68
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.64 / $1,677.24 / $2,403.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.00 / $2,775.96 / $3,940.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,879.05 / $11,879.05 / $11,879.05
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$7,881.75 / $7,881.75 / $7,881.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.76 / $5,740.00 / $8,792.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,798.92 / $6,106.73 / $11,431.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.40 / $2,388.76 / $5,031.10