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Wisconsin rates for HCPCS 65770

Keratoprosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.19 / $5,155.58 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $16,493.00 / $23,358.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,708.11 / $4,333.22 / $6,989.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.46 / $1,913.90 / $2,857.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.82 / $6,154.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.46 / $1,913.90 / $3,150.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.60 / $3,299.47 / $4,683.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,665.40 / $62,665.40 / $62,665.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00